The panel agreed that the indications for operation in idiopathic ulcerative colitis include not only acute medical situations and emergency hazards, but also late liver damage and later peristent changes suggestive of the risk of carcinoma complicating the disease. The panel agreed that in general, operations for Crohn’s disease are for the complications thereof. The operation of choice for idiopathic ulcerative colitis is one stage proctocolectomy and ileostomy rather than initial ileostomy and later colectomy. In Crohn’s disease it is important to preserve all of the intestine that one can in view of recurrences, skip areas, and other complications developing later. In idiopathic ulcerative colitis, patients who have had proctocolectomy have normal life expectancy thereafter. This is not the case with Crohn’s disease, where physician and patient must both appreciate that it can strike again at any time. The panel agreed that ileostomy should be matured at operation, preferably by the pattern of either Turnbull or Bryan Brooke.
KeywordsAbdominal Wall Rectus Sheath Normal Life Expectancy Continent Ileostomy Peristent Change
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