Proctocolectomy and permanent ileostomy is an option for selected patients with ulcerative
colitis. Current indications include the elderly, patients with poor anal continence,
and those with malignant lesions of the low rectum. Advantages of this procedure are
that it has fewer complications than an ileal pouch-anal anastomosis, it is a one-stage
operation removing all the diseased mucosa, and it is a relatively straightforward
operation. The operative technique is discussed.
KEYWORDS
Ulcerative colitis - proctocolectomy - Brooke ileostomy
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Eric J DozoisM.D.
Division of Colon and Rectal Surgery, Mayo Clinic Foundation
200 First Street SW, Rochester, MN 55905
Email: dozois.eric@mayo.edu
