liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
A reappraisal of the ileo-rectal anastomosis in ulcerative colitis
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping. Linköping University, Faculty of Medicine and Health Sciences.
University of Oslo, Norway; Akershus University Hospital, Norway.
2015 (English)In: Journal of Crohn's & Colitis, ISSN 1873-9946, E-ISSN 1876-4479, Vol. 9, no 6, 433-438 p.Article, review/survey (Refereed) 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.

Place, publisher, year, edition, pages
Oxford University Press (OUP): Policy C - Option B , 2015. Vol. 9, no 6, 433-438 p.
Keyword [en]
Subtotal colectomy; ulcerative colitis; surgery; reconstruction; ileorectal anastomosis; ileal pouch anal anastomosis
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-120171DOI: 10.1093/ecco-jcc/jjv060ISI: 000356617900001PubMedID: 25863275OAI: diva2:841453
Available from: 2015-07-13 Created: 2015-07-13 Last updated: 2016-05-10

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Myrelid, Pär
By organisation
Division of Clinical SciencesDepartment of Surgery in LinköpingFaculty of Medicine and Health Sciences
In the same journal
Journal of Crohn's & Colitis
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 105 hits
ReferencesLink to record
Permanent link

Direct link