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A reappraisal of the ileo-rectal anastomosis in ulcerative colitis
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Kirurgiska kliniken US. Linköpings universitet, Medicinska fakulteten.
University of Oslo, Norway; Akershus University Hospital, Norway.
2015 (engelsk)Inngår i: Journal of Crohn's & Colitis, ISSN 1873-9946, E-ISSN 1876-4479, Vol. 9, nr 6, s. 433-438Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Colectomy is still frequently required in the care of ulcerative colitis. The most common indications are either non-responding colitis in the emergency setting, chronic active disease, steroid-dependent disease or neoplastic change like dysplasia or cancer. The use of the ileal pouch anal anastomosis has internationally been the gold standard, substituting the rectum with a pouch. Recently the use of the ileorectal anastomosis has increased in frequency as reconstructive method after subtotal colectomy. Data from centres using ileorectal anastomosis have shown the method to be safe, with functionality and risk of failure comparable to the ileal pouch anal anastomosis. The methods have different advantages as well as disadvantages, depending on a number of patient factors and where in life the patient is at time of reconstruction. The ileorectal anastomosis could, together with the Kock continent ileostomy, in selected cases be a complement to the ileal pouch anal anastomosis in ulcerative colitis and should be discussed with the patient before deciding on reconstructive method.

sted, utgiver, år, opplag, sider
Oxford University Press (OUP): Policy C - Option B , 2015. Vol. 9, nr 6, s. 433-438
Emneord [en]
Subtotal colectomy; ulcerative colitis; surgery; reconstruction; ileorectal anastomosis; ileal pouch anal anastomosis
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-120171DOI: 10.1093/ecco-jcc/jjv060ISI: 000356617900001PubMedID: 25863275OAI: oai:DiVA.org:liu-120171DiVA, id: diva2:841453
Tilgjengelig fra: 2015-07-13 Laget: 2015-07-13 Sist oppdatert: 2017-12-04

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