ABSTRACT
Until the development of the ileal pouch-anal anastomosis in the early 1980s, proctocolectomy
with end ileostomy was the only definitive surgery for ulcerative colitis and colectomy
with ileorectal anastomosis was the procedure of choice for affected patients who
were reluctant to have a permanent ileostomy. Currently, ileal pouch-anal anastomosis
is the most common procedure for patients with ulcerative colitis requiring surgical
treatment. However, there is still a role for ileorectal anastomosis and proctocolectomy
with end ileostomy for a selected group of patients. In this review, the authors summarize
the current indications for ileorectal anastomosis and proctocolectomy with end ileostomy
in patients with ulcerative colitis.
KEYWORDS
Ulcerative colitis - proctocolectomy - ileostomy - ileorectal anastomosis
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Ian C LaveryM.D.
Digestive Disease Institute, Desk A30, Cleveland Clinic
9500 Euclid Ave., Cleveland, OH 44195
Email: laveryi@ccf.org
