Restoration of intestinal continuity after total colectomy for chronic ulcerative colitis
Keywords:
colitis, ulcer, surgery, ileostomy, colectomiesAbstract
In cases of Chronic Ulcerative Colitis, surgery not inevitably imply sacrificing the rectum and definitive ileostomy. A case of a 16 year old male patient with
severe chronic ulcerative colitis is described, with surgery practiced in three successive stages ( total colectomy and ileostomy - proctomucosectomy, isolation of
distal íleon with ileoproctostomy and proximal ileostomy - Enteroanastomosis), providing re-estableshment of intestinal continuity after total colectomy. The no regression of rectal lesions after colectomy does not always demand sacrificing the organ. Rectal mucosectomy is a practica! and efficient recourse which permits anatomic and functional preservation of the ano-rectum.
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