Abstract
Colectomy with full thickness proximal proctectomy and endoanal distal mucosal proctectomy may be a rational alternative to the conventional single stage proctocolectomy for ulcerative colitis. One of the great attractions of the method is that the preserved anal canal and anal sphincters may subsequently be used for restoration of intestinal continuity. Two patients are described who were both successfully treated by construction of a pelvic pouch at a second stage. This approach should be considered an alternative for patients with severe ulcerative colitis particularly those in whom preservation of the rectum is judged to be hazardous.
Similar content being viewed by others
References
Fallis LS, Barron J (1953) Modified technique for total colectomy in ulcerative colitis. Arch Surg 67:363–369
Fasth S, Öresland T, Åhrén C, Hultén L (1985) Mucosal proctectomy and ileostomy as an alternative to conventional proctectomy. Dis Colon Rectum 28:31–34
Becker JM (1984) Anal sphincter function after colectomy mucosal proctectomy and endorectal ileoanal pull-through. Arch Surg 119:526–531
Taylor BM (1983) A clinico physiological comparison of ileal pouch-anal and straight ileoanal anastomoses. Ann Surg 198:462–468
Dozois RR, Goldberg SM, Rothenberger DA, Utsunomiya J, Nicholls RJ, Cohen Z, Hultén L, Moskowitz RL (1986) Restorative proctocolectomy with ileal reservoir. Int J Colorect Dis 1:2–19
Hultén L (1985) The continent ileostomy (Kock's pouch) versus the restorative proctocolectomy (pelvic pouch). World J Surg 9:952–959
Goligher JC, Dombal FT de, Graham NG (1968) Ulcerative colitis. Ballière Tindall, London
Scott HW, Wimberly JE, Shull HJ, Law DH (1970) Single stage proctocolectomy for severe ulcerative colitis. Am J Surg 119:87–94
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fasth, S., Scaglia, M., Nordgren, S. et al. Restoration of intestinal continuity (pelvic pouch) after previous proctocolectomy with distal mucosal proctectomy. Int J Colorect Dis 1, 256–258 (1986). https://doi.org/10.1007/BF01648349
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01648349