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J R Soc Med. 1988 April; 81(4): 210–211.
PMCID: PMC1291541

Evaluation of ileorectal anastomosis for the treatment of ulcerative proctocolitis.


Of 327 patients treated for ulcerative proctocolitis, 165 underwent surgery and an ileorectal anastomosis was performed in 59: 19 of these patients were operated upon in one stage and 40 in two stages. In 13 cases the anastomoses had to be converted, 5 during the initial hospitalization and 8 during a later admission. Three patients developed carcinoma of the rectal stump. The median follow-up period was 15 years. It is concluded that ileorectal anastomosis has a place in the treatment of inflammatory bowel disease, but requires careful follow up of the patients.

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Selected References

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  • Aylett SO. Three hundred cases of diffuse ulcerative colitis treated by total colectomy and ileo-rectal anastomosis. Br Med J. 1966 Apr 23;1(5494):1001–1005. [PMC free article] [PubMed]
  • TURNBULL RB., Jr Surgical treatment of ulcerative colitis: early results after colectomy and low ileorectal anastomosis. Dis Colon Rectum. 1959 May-Jun;2(3):260–263. [PubMed]
  • Hughes ES, Russell IS. Ileorectal anastomosis for ulcerative colitis. Dis Colon Rectum. 1967 Jan-Feb;10(1):35–39. [PubMed]
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  • Khubchandani IT, Trimpi HD, Sheets JA, Stasik JJ, Jr, Kleckner FS. Ileorectal anastomosis for ulcerative and Crohn's colitis. Am J Surg. 1978 Jun;135(6):751–756. [PubMed]
  • Jones F, Munro A, Ewen SW. Colectomy and ileorectal anastomosis for colitis: report on a personal series, with a critical review. Br J Surg. 1977 Sep;64(9):615–623. [PubMed]
  • Smith DL, Goldman HS, Foote RF. Colectomy with ileoproctostomy for ulcerative colitis: report of five cases. Dis Colon Rectum. 1974 Sep-Oct;17(5):681–684. [PubMed]
  • Oakley JR, Lavery IC, Fazio VW, Jagelman DG, Weakley FL, Easley K. The fate of the rectal stump after subtotal colectomy for ulcerative colitis. Dis Colon Rectum. 1985 Jun;28(6):394–396. [PubMed]

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