Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1989 July; 82(7): 386–387.
PMCID: PMC1292198

Proctocolectomy and ileostomy for ulcerative colitis: the longer term story.


Elective surgery for ulcerative colitis usually involves the removal of the entire large bowel with either a conventional ileostomy or the formation of an ileoanal pouch anastomosis. Seventy patients undergoing a one stage elective total proctocolectomy and ileostomy between 1976 (the first year an ileoanal pouch was carried out in this hospital) and 1986 have been studied. We have confirmed that proctocolectomy and ileostomy for ulcerative colitis is not the trouble free operation many presume it to be when considering the alternative of an ileoanal pouch.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (416K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Roy PH, Sauer WG, Beahrs OH, Farrow GM. Experience with ileostomies. Evaluation of long-term rehabilitation in 497 patients. Am J Surg. 1970 Jan;119(1):77–86. [PubMed]
  • Ritchie JK. Ulcerative colitis treated by ileostomy and excisional surgery. Fifteen years' experience at St. Mark's Hospital. Br J Surg. 1972 May;59(5):345–351. [PubMed]
  • Ritchie JK. Ileostomy and excisional surgery for chronic inflammatory disease of the colon: a survey of one hospital region. Gut. 1971 Jul;12(7):528–540. [PMC free article] [PubMed]
  • Ritchie JK. Results of surgery for inflammatory bowel disease: a further survey of one hospital region. Br Med J. 1974 Feb 16;1(5902):264–268. [PMC free article] [PubMed]
  • Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. Br Med J. 1978 Jul 8;2(6130):85–88. [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]
  • Neale K, Phillips R. Living with a stoma. BMJ. 1988 Jul 30;297(6644):310–311. [PMC free article] [PubMed]
  • Nicholls RJ, Pezim ME. Restorative proctocolectomy with ileal reservoir for ulcerative colitis and familial adenomatous polyposis: a comparison of three reservoir designs. Br J Surg. 1985 Jun;72(6):470–474. [PubMed]
  • Cohen Z, McLeod RS, Stern H, Grant D, Nordgren S. The pelvic pouch and ileoanal anastomosis procedure. Surgical technique and initial results. Am J Surg. 1985 Nov;150(5):601–607. [PubMed]
  • Nasmyth DG, Williams NS, Johnston D. Comparison of the function of triplicated and duplicated pelvic ileal reservoirs after mucosal proctectomy and ileo-anal anastomosis for ulcerative colitis and adenomatous polyposis. Br J Surg. 1986 May;73(5):361–366. [PubMed]
  • Becker JM, Raymond JL. Ileal pouch-anal anastomosis. A single surgeon's experience with 100 consecutive cases. Ann Surg. 1986 Oct;204(4):375–383. [PubMed]
  • Harms BA, Hamilton JW, Yamamoto DT, Starling JR. Quadruple-loop (W) ileal pouch reconstruction after proctocolectomy: analysis and functional results. Surgery. 1987 Oct;102(4):561–567. [PubMed]
  • Pemberton JH, Kelly KA, Beart RW, Jr, Dozois RR, Wolff BG, Ilstrup DM. Ileal pouch-anal anastomosis for chronic ulcerative colitis. Long-term results. Ann Surg. 1987 Oct;206(4):504–513. [PubMed]
  • Pescatori M, Mattana C, Castagneto M. Clinical and functional results after restorative proctocolectomy. Br J Surg. 1988 Apr;75(4):321–324. [PubMed]

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