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Complications of Restorative Proctocolectomy

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Crohn’s Disease and Ulcerative Colitis

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Abstract

The concept of an ileal pouch-anal anastomosis is attractive to the patient because it eliminates the need for a permanent ileostomy and is also attractive to the surgeon because it cures the patient of ulcerative colitis. Although the mortality from this complex procedure is remarkably low, there is a substantial morbidity. Approximately a third of all patients will develop complications (Hulten 1986; Vasilevsky et al. 1987; Beart 1988). The commonest complications following restorative proctocolectomy are:

  1. 1.

    Haemorrhage from the pouch

  2. 2.

    Leak from the pouch suture line

  3. 3.

    Pouch necrosis

  4. 4.

    Pouch-anal anastomotic stenosis

  5. 5.

    Pelvic sepsis

  6. 6.

    Intestinal obstruction

  7. 7.

    Pouchitis

  8. 8.

    Pouch-anal or pouch-vaginal fistulae

  9. 9.

    Pouch failure

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Authors
  1. D. Kumar
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© 1993 Springer-Verlag London Limited

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Kumar, D. (1993). Complications of Restorative Proctocolectomy. In: Crohn’s Disease and Ulcerative Colitis. Springer, London. https://doi.org/10.1007/978-1-4471-3296-7_27

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  • DOI: https://doi.org/10.1007/978-1-4471-3296-7_27

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3298-1

  • Online ISBN: 978-1-4471-3296-7

  • eBook Packages: Springer Book Archive

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