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Ulcerative Colitis: Surgical Management

  • Zuri Murrell
  • Phillip Fleshner
Chapter

Abstract

Ulcerative colitis (UC) is a diffuse inflammatory disease of the mucosal lining of the colon and rectum that manifests clinically as diarrhea, abdominal pain, fever, weight loss, and rectal bleeding. Since removal of the affected organ is curative, surgery has assumed a pivotal position in the management of these patients. Although removal of the entire colon and rectum with a permanent ileostomy had been the standard operation for decades, increased experience with anal sphincter preservation has demonstrated the feasibility of performing surgical procedures which spare sphincter function while still removing all disease. This chapter considers the surgical alternatives, decision making, and techniques surrounding these procedures.

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Copyright information

© ASCRS (American Society of Colon and Rectal Surgeons) 2011

Authors and Affiliations

  • Zuri Murrell
    • 1
  • Phillip Fleshner
    • 2
    • 3
  1. 1.Division of Colorectal SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Clinical Professor of SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  3. 3.UCLA School of MedicineLos AngelesUSA

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