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J R Soc Med. 1986 October; 79(10): 593–595.
PMCID: PMC1290499

Indications for and results of operation in inflammatory bowel disease.

Abstract

Of 363 patients with inflammatory bowel disease presenting between 1972 and 1983, 166 required definitive operation. A classification by histological type distinguishes Crohn's disease (CD) from ulcerative colitis (UC) and indeterminate inflammatory bowel disease. CD is divided into predominantly ileal disease (81), total or subtotal colonic disease (74) and distal disease (22), whilst UC is classified into colonic (95) or distal disease (63). Most patients with ileal disease required operation for chronic persistent symptoms. In patients with total colonic involvement a greater proportion of patients with CD than those with UC came to surgery. Very few patients with distal disease required surgery. After resection for ileal disease there was a low incidence of anastomotic leakage (3%) and no operative mortality. There was an overall operative mortality of 8% after colonic resection. This was much lower in the non-urgent cases but rose to 12% in urgent cases.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Lennard-Jones JE. Medical treatment of ulcerative colitis. Postgrad Med J. 1984 Nov;60(709):797–802. [PMC free article] [PubMed]
  • Truelove SC, Willoughby CP, Lee EG, Kettlewell MG. Further experience in the treatment of severe attacks of ulcerative colitis. Lancet. 1978 Nov 18;2(8099):1086–1088. [PubMed]
  • Mandal BK, Schofield PF, Morson BC. A clinicopathological study of acute colitis: the dilemma of transient colitis syndrome. Scand J Gastroenterol. 1982 Oct;17(7):865–869. [PubMed]
  • SCHOFIELD PF. THE NATURAL HISTORY AND TREATMENT OF CROHN'S DISEASE. Ann R Coll Surg Engl. 1965 May;36:258–279. [PMC free article] [PubMed]
  • Van Heerden JA, McIlrath DC, Adson MA. The surgical aspects of chronic mucosal inflammatory bowel disease (chronic ulcerative colitis). Ann Surg. 1978 May;187(5):536–541. [PubMed]
  • Ritchie JK, Powell-Tuck J, Lennard-Jones JE. Clinical outcome of the first ten years of ulcerative colitis and proctitis. Lancet. 1978 May 27;1(8074):1140–1143. [PubMed]
  • Carr N, Schofield PF. Inflammatory bowel disease in the older patient. Br J Surg. 1982 Apr;69(4):223–225. [PubMed]
  • Lindhagen T, Ekelund G, Leandoer L, Hildell J, Lindström C, Wenckert A. Pre- and post-operative complications in Crohn's disease with special reference to duration of preoperative disease history. Scand J Gastroenterol. 1984 Mar;19(2):194–203. [PubMed]
  • Hosking SW, Kane SP, Cour-Palais IJ. Reducing the surgical mortality of acute colitis. A district hospital's experience. J R Coll Surg Edinb. 1985 Aug;30(4):255–257. [PubMed]
  • Ambrose NS, Alexander-Williams J, Keighley MR. Audit of sepsis in operations for inflammatory bowel disease. Dis Colon Rectum. 1984 Sep;27(9):602–604. [PubMed]
  • Turnbull RB, Jr, Weakley FL, Hawk WA, Schofield P. Choice of operation for the toxic megacolon phase of nonspecific ulcerative colitis. Surg Clin North Am. 1970 Oct;50(5):1151–1169. [PubMed]
  • Mortensen NJ, Ritchie JK, Hawley PR, Todd IP, Lennard-Jones JE. Surgery for acute Crohn's colitis: results and long term follow-up. Br J Surg. 1984 Oct;71(10):783–784. [PubMed]
  • Lee EC, Papaioannou N. Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease. Ann R Coll Surg Engl. 1982 Jul;64(4):229–233. [PMC free article] [PubMed]
  • Utsunomiya J, Iwama T, Imajo M, Matsuo S, Sawai S, Yaegashi K, Hirayama R. Total colectomy, mucosal proctectomy, and ileoanal anastomosis. Dis Colon Rectum. 1980 Oct;23(7):459–466. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press