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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
Identifiers
URN: urn:nbn:se:liu:diva-120171DOI: 10.1093/ecco-jcc/jjv060ISI: 000356617900001PubMedID: 25863275OAI: oai:DiVA.org:liu-120171DiVA: diva2:841453
Available from: 2015-07-13 Created: 2015-07-13 Last updated: 2016-05-10

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Myrelid, Pär
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Division of Clinical SciencesDepartment of Surgery in LinköpingFaculty of Medicine and Health Sciences
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ReferencesLink to record
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