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Hepatogastroenterology. 2005 Jul-Aug;52(64):1101-5.

Ileal-pouch-anal anastomosis after restorative proctocolectomy in patients with ulcerative colitis or familial adenomatous polyposis.

Author information

1
Department of General, Gastroenterologic and Endocrine Surgery, Medical University in Wroclaw, Poland. wbednarz@op.pl

Abstract

BACKGROUND/AIMS:

Restorative proctocolectomy is the "golden standard" in surgical treatment of ulcerative colitis and familial adenomatous polyposis. The two alternative techniques of ileal-pouch-anal anastomosis include hand-made suture and double line stapled suture. The aim of the study was the analysis of postoperative complications and functional results of the two types of anastomosis.

METHODOLOGY:

Analyzed group consisted of 71 patients operated between 1994 and 2003 for ulcerative colitis (n=62) or familial adenomatous polyposis (n=9). Stapled anastomosis was performed in 56 (79%) cases whereas hand-made suture was performed in 15 (21%) cases.

RESULTS:

No significant differences between the two anastomosis techniques were found in terms of postoperative complications as well as late functional results.

CONCLUSIONS:

The low rate of complications and well accepted functional outcome prove that restorative proctocolectomy is a safe surgical procedure which may be offered to patients with ulcerative colitis of familial adenomatous polyposis. Double line stapled suture should be the preferred method of ileal-pouch-anal anastomosis, however hand-made suture remains its valuable alternative and may be considered in selected cases.

PMID:
16001639
[Indexed for MEDLINE]

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