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Restoration of intestinal continuity after total colectomy for chronic ulcerative colitis

In cases of Chronic Ulcerative Colitis, surgery not inevitably imply sacrificing the rectum and definitive ileostomy. A case of a 16 year old male patient withsevere chronic ulcerative colitis is described, with surgery practiced in three successive stages ( total colectomy and i...

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Main Author: Mazza, Milton E (author)
Other Authors: Portos, Ruben (author), Aguiar, Alberto (author), Muñoz Monteavaro, Cándido (author), Mescia, Carlos (author), Kauffman, Pedro (author), Pérez Fernández, Emilio (author), Cagno, Carlos (author)
Format: article
Language:Spanish
Published: 1975
Subjects:
colitis
úlcera
cirugía
ileostomía
colectomías
ulcer
surgery
ileostomy
colectomies
Online Access:https://revista.scu.org.uy/index.php/cir_urug/article/view/2523
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Summary:In cases of Chronic Ulcerative Colitis, surgery not inevitably imply sacrificing the rectum and definitive ileostomy. A case of a 16 year old male patient withsevere chronic ulcerative colitis is described, with surgery practiced in three successive stages ( total colectomy and ileostomy - proctomucosectomy, isolation ofdistal íleon with ileoproctostomy and proximal ileostomy - Enteroanastomosis), providing re-estableshment of intestinal continuity after total colectomy. The no regression of rectal lesions after colectomy does not always demand sacrificing the organ. Rectal mucosectomy is a practica! and efficient recourse which permits anatomic and functional preservation of the ano-rectum.

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