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

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    Authors
    Böhm, G
    O'Dwyer, Sarah T
    Affiliation
    South Manchester University Hospital, Manchester, UK. gboehm@ukaachen.de
    Issue Date
    2007-03
    
    Metadata
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    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.
    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
    URI
    http://hdl.handle.net/10541/71162
    DOI
    10.1007/s00384-006-0127-4
    PubMed ID
    16586076
    Type
    Article
    Language
    en
    ISSN
    0179-1958
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00384-006-0127-4
    Scopus Count
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