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

  • Sang W. Lee


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.


Ulcerative colitis Rectal stump dehiscence Rectal tube 

Suggested Reading

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

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sang W. Lee
    • 1
  1. 1.Department of Surgery – Colon and Rectal SurgeryKeck School of Medicine of University of Southern CaliforniaLos AngelesUSA

Personalised recommendations