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Ulcerative Colitis with Severe Inflammation and Friable Tissues: How to Avoid Intraoperative Perforation and Manage the Colorectal Stump

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Abstract

Rectal stump dehiscence is common in patients with severe ulcerative colitis undergoing total colectomy. Securing the rectal stump in the subcutaneous tissue or placement of a rectal tube can reduce the complications related to rectal stump dehiscence.

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Suggested Reading

  1. Gu J, Stochhi L, Remzi F, Kiran RP. Intraperitoneal or subcutaneous: does location of the (colo)rectal stump influence outcomes after laparoscopic total abdominal colectomy for ulcerative colitis? Dis Colon Rectum. 2013;56(5):615–21.

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  2. Michelassi F, Milsom JW. Operative strategies in inflammatory bowel disease. New York: Springer; 1999.

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  3. Trickett JP, Tilney HS, Gudgeon AM, Mellor SG, Edwards DP. Management of the rectal stump after emergency sub-total colectomy: which surgical option is associated with the lower morbidity? Color Dis. 2005;7(5):519–22.

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Lee, S.W. (2019). Ulcerative Colitis with Severe Inflammation and Friable Tissues: How to Avoid Intraoperative Perforation and Manage the Colorectal Stump. In: Lee, S., Steele, S., Feingold, D., Ross, H., Rivadeneira, D. (eds) Colorectal Surgery Consultation. Springer, Cham. https://doi.org/10.1007/978-3-030-11181-6_29

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  • DOI: https://doi.org/10.1007/978-3-030-11181-6_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11180-9

  • Online ISBN: 978-3-030-11181-6

  • eBook Packages: MedicineMedicine (R0)

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