The fate of the rectal stump after subtotal colectomy for ulcerative colitis.

2.50
Hdl Handle:
http://hdl.handle.net/10541/71162
Title:
The fate of the rectal stump after subtotal colectomy for ulcerative colitis.
Authors:
Böhm, G; O'Dwyer, Sarah T
Abstract:
OBJECTIVE: To review the outcome of patients who had undergone subtotal colectomy for ulcerative colitis with formation of a rectal stump. To specifically look at the fate of the rectal stump, whether patients underwent emergency colectomy as opposed to urgent or elective resection. PATIENTS AND METHODS: Between January 1990 and August 2000, a total of 31 patients underwent subtotal colectomy for ulcerative colitis. Patients were identified using the computerized coding system for the years 1995 to 2000, supplemented by pathology records, discharge letters, and operation notes. Postal and telephone surveys were undertaken using a standard questionnaire assessing social, physical, sexual, and bowel activities of patients. RESULTS: In 28 out of 31 patients, the follow-up was complete. Twenty-four of 28 patients (86%) underwent excision of rectal stump. Four patients (14%) preferred to undergo excision of rectum only, resulting in a permanent ileostomy; 20/28 (71%) had attempted ileal pouch-anal anastomosis, with success in 85%. In four patients (14%), the rectal stump remained in situ and was associated with a decrease in the quality of life. There were no perioperative deaths and morbidity was low for all procedures. CONCLUSION: These data show that after subtotal colectomy, the majority of our ulcerative colitis patients undergo ileal pouch-anal anastomosis. Patients' satisfaction is high with reasonable social and excellent sexual function on quality of life assessment. During its retention, the rectal stump causes considerable symptoms. When left in situ, it is associated with a decrease in the quality of life.
Affiliation:
South Manchester University Hospital, Manchester, UK. gboehm@ukaachen.de
Citation:
The fate of the rectal stump after subtotal colectomy for ulcerative colitis. 2007, 22 (3):277-82 Int J Colorectal Dis
Journal:
International Journal of Colorectal Disease
Issue Date:
Mar-2007
URI:
http://hdl.handle.net/10541/71162
DOI:
10.1007/s00384-006-0127-4
PubMed ID:
16586076
Type:
Article
Language:
en
ISSN:
0179-1958
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorBöhm, G-
dc.contributor.authorO'Dwyer, Sarah T-
dc.date.accessioned2009-06-22T13:46:01Z-
dc.date.available2009-06-22T13:46:01Z-
dc.date.issued2007-03-
dc.identifier.citationThe fate of the rectal stump after subtotal colectomy for ulcerative colitis. 2007, 22 (3):277-82 Int J Colorectal Disen
dc.identifier.issn0179-1958-
dc.identifier.pmid16586076-
dc.identifier.doi10.1007/s00384-006-0127-4-
dc.identifier.urihttp://hdl.handle.net/10541/71162-
dc.description.abstractOBJECTIVE: To review the outcome of patients who had undergone subtotal colectomy for ulcerative colitis with formation of a rectal stump. To specifically look at the fate of the rectal stump, whether patients underwent emergency colectomy as opposed to urgent or elective resection. PATIENTS AND METHODS: Between January 1990 and August 2000, a total of 31 patients underwent subtotal colectomy for ulcerative colitis. Patients were identified using the computerized coding system for the years 1995 to 2000, supplemented by pathology records, discharge letters, and operation notes. Postal and telephone surveys were undertaken using a standard questionnaire assessing social, physical, sexual, and bowel activities of patients. RESULTS: In 28 out of 31 patients, the follow-up was complete. Twenty-four of 28 patients (86%) underwent excision of rectal stump. Four patients (14%) preferred to undergo excision of rectum only, resulting in a permanent ileostomy; 20/28 (71%) had attempted ileal pouch-anal anastomosis, with success in 85%. In four patients (14%), the rectal stump remained in situ and was associated with a decrease in the quality of life. There were no perioperative deaths and morbidity was low for all procedures. CONCLUSION: These data show that after subtotal colectomy, the majority of our ulcerative colitis patients undergo ileal pouch-anal anastomosis. Patients' satisfaction is high with reasonable social and excellent sexual function on quality of life assessment. During its retention, the rectal stump causes considerable symptoms. When left in situ, it is associated with a decrease in the quality of life.en
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAnal Canal-
dc.subject.meshAnastomosis, Surgical-
dc.subject.meshColectomy-
dc.subject.meshColitis, Ulcerative-
dc.subject.meshColonic Pouches-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIleum-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPatient Satisfaction-
dc.subject.meshProctocolectomy, Restorative-
dc.subject.meshQuality of Life-
dc.subject.meshQuestionnaires-
dc.subject.meshRectum-
dc.titleThe fate of the rectal stump after subtotal colectomy for ulcerative colitis.en
dc.typeArticleen
dc.contributor.departmentSouth Manchester University Hospital, Manchester, UK. gboehm@ukaachen.deen
dc.identifier.journalInternational Journal of Colorectal Diseaseen
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