Advertisement

Ulcerative Colitis

  • H. Wehrli
  • A. Akovbiantz
Chapter

Abstract

Ulcerative colitis is a usually chronic inflammatory disease of the colon of largely unknown etiology [56, 69]. It was first described by Samual Wilkes of London in 1859 [22]. During the course of disease, which may last many years, periods of varying activity with differing degrees of suffering are often observed [96]. Ulcerative colitis, unlike Crohn’s disease, is generally limited to the mucosa and submucosa of the colon [113] except in cases where the disease takes an acute, fulminating, toxic course. Inflammation of the termi- nal ileum (“back-wash ileitis”) is seen only when the disease process involves the entire colon. Ulcerative colitis begins distally and may spread proximally and continuously throughout the large bowel. The rectum is involved in 98 % of cases [101]. The disease may have its onset at any age but most commonly appears in the second to fourth decades [24]. Childhood onset of ulcerative colitis is seen in 25 % of cases [23] and implies a very poor prognosis [113].

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Akovbiantz A (1981) Kontinenzerhaltende Operationen bei der Colitis ulcerosa. Helv Chir Acta 48: 789–796Google Scholar
  2. 2.
    Albrechtsen D, Bergau A, Nygaard K, Gjone E, Flatmack A (1981) Urgent surgery for ulcerative colitis: early colectomy in 132 patients. World J Surg 5: 607–615PubMedCrossRefGoogle Scholar
  3. 3.
    Allsop JR, Lee E (1978) Factors which influenced postoperative complications in patients with ulcerative colitis or Crohn’s disease of the colon on corticosteroids. Gut 19: 729–734PubMedCrossRefGoogle Scholar
  4. 4.
    Athanasiadis S, Kuhlgatz CH, Girona J (1984) Zur Wertigkeit der ileorektalen Anastomose bei der Behandlung der Colitis ulcerosa. Zbl Chirurgie 109: 1179–1206Google Scholar
  5. 5.
    Baker W, Aylett SO, Glass RE, Ritchie JK (1978) Cancer of the rectum following colectomy and ileorectal anastomosis for ulcerative colitis. Br J Surg 65: 862–868PubMedCrossRefGoogle Scholar
  6. 6.
    Bansky G, Buhler H, Stamm B, Hacki WH, Buchmann P, Müller J (1987) Treatment of distal ulcerative colitis with betamethasone enemas: high therapeutic efficacy without endocrine side effects. Dis Colon Rectum 30: 288–292PubMedCrossRefGoogle Scholar
  7. 7.
    Bauer J, Gelernt IM, Salky B, Kreel I (1983) Sexual dysfunction following proctocolectomy for benign disease of the colon and rectum. Ann Surg 197: 363–367PubMedCrossRefGoogle Scholar
  8. 8.
    Becker JM, Hillard HE, Mann FA, Kestenberg A, Nelson JA (1985) Functional assessment alter colectomy, mucosal proctectomy and endorectal ileoanal pull-through. World J Surg 9: 598–605PubMedCrossRefGoogle Scholar
  9. 9.
    Becker V (1982) Pathologische Anatomie entzundlicher Darmerkrankungen. Colo-proctology 4: 347–350Google Scholar
  10. 10.
    Berry AR, de Campos R, Lee ECG (1986) Perineal and pelvic morbidity following perimuscular excision of the rectum for inflammatory bowel disease. Br J Surg 73: 675–677PubMedCrossRefGoogle Scholar
  11. 11.
    Bozdech JM, Oakley JR, Farmer RG (1991) Cancer surveillance in ulcerative colitis. Evidence for improved survival. Gastroenterology 100: A199Google Scholar
  12. 12.
    Broome U, Lofberg R, Veress B, Eriksson LS (1995) Primary sclerosing cholangitis and ulcerative colitis: evidence for increased neoplastic potential. Hepatology 22: 1404–1408PubMedGoogle Scholar
  13. 13.
    Brynskov J, Nielsen OH, Ahnfel-Ronne I, Bendten K (1994) Cytokines (immunoinflammatory hormones) and their natural regulation in inflammatory bowel disease (Crohn’s disease and ulcerative colitis): a review. Dig Dis 12: 290–304PubMedCrossRefGoogle Scholar
  14. 14.
    Buchmann P (1983) Colitis ulcerosa und Colonpolypose: Die Erhaltung des Rectums. Helv Chir Acta 509: 587–591Google Scholar
  15. 15.
    Burnham W, Lennard-Jones J, Standord JL, Bird RG (1979) Mycobacteria as a possible cause of inflammatory bowel disease. Lancet ii: 693–696Google Scholar
  16. 16.
    Campell DES (1986) Therapie der Colitis ulcerosa auf der Basis von 5-Amino-Salicylsaure. Schwerpunkt Med 9:12–20Google Scholar
  17. 17.
    Carlstedt A, Fasth S, Hulten L, Nordgreen S, Palselius I (1987) Long-term ileostomy complications in patients with ulcerative colitis and Crohn’s disease. Int J Colorect Dis: 22–25Google Scholar
  18. 18.
    Caprilli R, Vernia R, Colaneri O, Frieri G (1980) Risk factors in toxic megacolon. Dig Dis Sci 25: 817–822PubMedCrossRefGoogle Scholar
  19. 19.
    Cello JP (1983) Ulcerative solitis. In: Sleisenger M, Fordtran J (eds) Gastrointestinal disease, 3rd edn. Saunders, PhiladelphiaGoogle Scholar
  20. 20.
    Chapman RW, Sleby WS, Jewell DP (1986) Controlled trial of intravenous metronidazole as an adjunct to corticosteroids in severe ulcerative colitis. Gut 27: 1210–1212PubMedCrossRefGoogle Scholar
  21. 21.
    Clark M (1986) Role of nutrition in inflammatory bowel disease: an overview. Gut 27: 72–75PubMedCrossRefGoogle Scholar
  22. 22.
    Coran AG (1985) New surgical approaches to ulcerative colitis in children and adults. World J Surg 9: 203–213PubMedCrossRefGoogle Scholar
  23. 23.
    Dick W (1986) Chronisch-entziindliche Darmerkrankungen. Der informierte Arzt 20: 8–12Google Scholar
  24. 24.
    Dolle W, Herfarth C (1979) Diagnose und Therapie chron-isch-enziindlicher Darmerkrankungen. Med Welt 30/29: 1120–1124PubMedGoogle Scholar
  25. 25.
    Dozois RR, de Calan L (1985) Rectocolite ulcerohemor-ragique: alternatives chirurgicales a l’ileostomie conven-tionnelle de Brooke, Gastroenterol Clin Biol 9: 687–689PubMedGoogle Scholar
  26. 26.
    Eckbom A, Helmick C, Zack M (1991) Ulcerative proctitis in central Sweden 1965–1983. A population-based epidemiological study. Dig Dis Sci 36: 97–102CrossRefGoogle Scholar
  27. 27.
    Ewe K (1993) M. Crohn und Colitis ulcerosa — neuere Thera-pieansätze. Z Gastroenterol 31: 151–155PubMedGoogle Scholar
  28. 28.
    Feinberg S, McLeod RS, Cohen Z (1987) Complications of loop ileostomy. Am J Surg 153: 102–107PubMedCrossRefGoogle Scholar
  29. 29.
    Fockens P, Mulder CJJ, Tytgat GNJ, Blok P, Ferwerda J (1995) Comparison of the efficacy and safety of 1.5 compared with 3.0 g oral mesalazine in the maintenance treatment of ulcerative colitis. Eur J Gastroenterol Hepatol 7:1025–1030PubMedCrossRefGoogle Scholar
  30. 30.
    Fonkalsrud EW (1981) Endorectal ileal pullthrough with lateral ileal reservoir for benign colorectal disease. Ann Surg 194:761–766PubMedCrossRefGoogle Scholar
  31. 31.
    Friedmann LS, Richter JM, Kirkham SE, DeMonaco HJ, May RJ (1986) 5-Aminosaliclic acid enemas in refractory distal ulcerative colitis: a randomized controlled trial. Am J Gastroenterol 81: 412–418Google Scholar
  32. 32.
    Gaisberg U, Töpfer HU (1984) Medikamentose Therapie der Colitis ulcerosa und des M. Crohn. In: Gaisberger U (ed) Colitis ulcerosa-M. Crohn: II. Fortbildungsveranstaltung, Bad Cannstatt 1984. Fak Foundation eV, Habsburgerstr. 81, D-7800 Freiburg i. Br.Google Scholar
  33. 33.
    Gilat T (1983) Incidence of inflammatory bowel disease: going up or down? Gastroenterology 85: 194–203Google Scholar
  34. 34.
    Gloor F (1981) Die nicht klassifizierbaren ulzerosen Koli-tiden. Schweiz Med Wochenschr 111: 779–783PubMedGoogle Scholar
  35. 35.
    Goebell H, Eigler FW (1992) Langzeittherapie und Zeitpunkt der chirurgischen Intervention bei Colitis ulcerosa und M. Crohn. Chirurg 63: 8–12PubMedGoogle Scholar
  36. 36.
    Goligher JC (1981) Current efforts to retain continence in the surgery of ulcerative colitis. Schweiz Med Wochenschr 111:784–789PubMedGoogle Scholar
  37. 37.
    Goligher JC (1981) Eversion technique for distal mucosal proctectomy in ulcerative colitis: a preliminary report. Br J Surg 71: 26–28CrossRefGoogle Scholar
  38. 38.
    Greenberg GR, Feagan BG, Martin F et al. (1994) Oral bude-noside for active Crohn’s disease. N Engl J Med 331:836–841PubMedCrossRefGoogle Scholar
  39. 39.
    Greenstein AJ, Barth JA, Sachar DB, Aufses AH (1986) Free colonic perforation without dilatation in ulcerative colitis. Am J Surg 152: 272–275PubMedCrossRefGoogle Scholar
  40. 40.
    Gyde SN, Prior P, Thompson H, Waterhouse JAH, Allan RN (1984) Survival of patients with colorectal cancer complicating ulcerative colitis. Gut 25: 228–231PubMedCrossRefGoogle Scholar
  41. 41.
    Haferkamp O (1981) M. Crohn und Colitis ulcerosa — Stan-dordbestimmung: pathologisch-anatomische Aspekte. Chirurg 52: 737–743PubMedGoogle Scholar
  42. 42.
    Halter F (1981) Differentialdiagnose der Colitis ulcerosa. Schweiz Med Wochenschr 111: 773–778PubMedGoogle Scholar
  43. 43.
    Hartmann F (1986) 5-Aminosalicylsaure: Neue Thera-piemoglichkeit bei chronisch entzündlicher Darmerk-rankung? Leber Magen Darm 16: 20–27PubMedGoogle Scholar
  44. 44.
    Hassler H, Grossmann S, Fischer L, Oesch A (1984) Colitis ulcerosa: Die notfallmäßige Operation beim toxischen Megacolon mit Perforation. Helv Chir Acta 51: 47–50PubMedGoogle Scholar
  45. 45.
    Hawley PR (1985) Ileorectal anastomosis. Br J Surg 72 [Suppl]: 75–82CrossRefGoogle Scholar
  46. 46.
    Herfarth C (1983) Chronisch-entzundliche Darmerkran-kungen — Indikation zur Operation. Z Gastroenterol 21:27–34Google Scholar
  47. 47.
    Herfarth C, Otto HF (1987) Carcinom-praeventive Opera-tionsindikationen bei entziindlichen Darmerkrankungen. Chirurg 58: 221–227PubMedGoogle Scholar
  48. 48.
    Herfarth C, Stern J (1986) Die kontinenzerhaltende Prokto-colectomie. Chirurg 57: 263–270PubMedGoogle Scholar
  49. 49.
    Hulten L (1988) Die kontinente Ileostomie — Kockscher Pouch. Chirurg 59: 143–149PubMedGoogle Scholar
  50. 50.
    Jalan K (1970) An experience of ulcerative colitis. II. Short term outcome, III: Long term outcome. Gastroenterology 59: 589–609PubMedGoogle Scholar
  51. 51.
    Kewenter J, Hulten L, Ahlman H (1978) Cancer risk in extensive colitis. Ann Surg 188: 824–828PubMedCrossRefGoogle Scholar
  52. 52.
    Kim YS, Byrd JC (1984) Ulcerative colitis: a specific mucin defect? Gastroenterology 87: 1193–1195PubMedGoogle Scholar
  53. 53.
    Kock N (1977) Ileostomy. Curr Probl Surg 14: 18–47Google Scholar
  54. 54.
    Kock N, Myrvold HE, Nilsson LO, Philipson BM (1985) Achtzehn Jahre Erfahrung mit der kontinenten Ileostomie. Chirurg 56: 299–304PubMedGoogle Scholar
  55. 55.
    Kommerell B (1981) Colitis ulcerosa und M. Crohn. Der informierte Arzt 15: 34–40Google Scholar
  56. 56.
    Kremer K, Rumpf P, Ehms H, Strohmeyer G (1981) Colitis ulcerosa. In: Allgower M, Siewert JR, Blum AL (eds) Chirur-gische Gastroenterologie. Springer, Berlin Heidelberg New YorkGoogle Scholar
  57. 57.
    Lavery I, Weakley FL, Turnbull RB (1981) The risk of cancer following colectomy and iliorectal anastomosis for extensive mucosal ulcerative colitis. Ann Surg 193: 9–14PubMedCrossRefGoogle Scholar
  58. 58.
    Lennard-Jones JE (1986) Compliance, cost and common sense limit cancer control in colitis. Gut 27: 1403–1407PubMedCrossRefGoogle Scholar
  59. 59.
    Lennard-Jones JE (1985) Cancer risk in ulcerative colitis: surveillance or surgery. Br J Surg 72: 84–86CrossRefGoogle Scholar
  60. 60.
    Lennard-Jones JE (1983) Toward optimal use of corticosteroids in ulcerative colitis and Crohn’s disease. Gut 24: 177–181PubMedCrossRefGoogle Scholar
  61. 61.
    Lockart-Mummery HE (1968) Diffuse conditions of the large bowel which are premalignant. Br J Surg 55: 737Google Scholar
  62. 62.
    Lupinetti M, Mehigan D, Cameron JL (1980) Hepatobiliary complications of ulcerative colitis. Ann J Surg 139: 113–118CrossRefGoogle Scholar
  63. 63.
    Maier K, Gaisberg U (1986) Klinische Erfahrungen mit der rectalen und oralen Applikation mit 5-Aminosalicylsaure. In: Ewe K (ed) Therapie chronisch-entzundlicher Darmerkrankungen. Schattauer, StuttgartGoogle Scholar
  64. 64.
    Matuchansky C (1986) Parenteral nutrition in inflammatory bowel disease. Gut 27: 81–84PubMedCrossRefGoogle Scholar
  65. 65.
    Mayberry JF (1985) Some aspects of the epidemiology of ulcerative colitis. Gut 26: 968–974PubMedCrossRefGoogle Scholar
  66. 66.
    McCafferty MH, Fazia V (1985) Ileoanale Anastomose bei Colitis ulcerosa. Chirurg 56: 293–298PubMedGoogle Scholar
  67. 67.
    Mclntyre PB, Lennard-Jones JE, Powell-Tuck J, Wood SR, Zerebours E, Hecketsweile P, Colin R, Galmiche J-P (1986) Controlled trial of bowel rest in the treatment of severe acute colitis. Gut 27: 481–485CrossRefGoogle Scholar
  68. 68.
    Mee AS, Shield AS, Burke M (1985) Campylobacter colitis: differentiation from acute inflammatory bowel disease. J Z Soc Med 78: 217–223Google Scholar
  69. 69.
    Meister R, Schmidt R (1986) Chirurgische Therapie der Colitis ulcerosa. Colo-proctology 1: 15–23Google Scholar
  70. 70.
    Merkle R (1983) Colitis ulcerosa. Munch Med Wochenschr 125:255–258Google Scholar
  71. 71.
    Meyer J (1973) Ulcerative colitis. In: Sleisenger M, Fordtran J (eds) Gastrointestinal disease. Saunders, Philadelphia, pp 1296–1349Google Scholar
  72. 72.
    Miller B (1978) Chronisch-entzundliche Darmerkrankungen: Colitis ulcerosa und M. Crohn. In: Bock E et al. (eds) Klinik der Gegenwart, vol. 10. Urban and Schwarzenberger, Munich, pp 442a-E 460Google Scholar
  73. 73.
    Miller JP (1986) Inflammatory bowel disease in pregnancy: a review. J R Soc Med 79: 221–225PubMedCentralPubMedGoogle Scholar
  74. 74.
    Mir-Nadjlesi SH, Farmer RG, Easley KA, Beck GJ (1986) Colorectal and extracolonic malignancy in ulcerative colitis. Cancer 58:1569CrossRefGoogle Scholar
  75. 75.
    Mock DM (1986) Growth retardation in chronic inflammatory bowel disease. Gastroenterology 91:1019–1023PubMedGoogle Scholar
  76. 76.
    Morel P, Alexander-Williams J, Hawker PC, Allan RN, Dykes PW (1986) Management of acute colitis in inflammatory bowel disease. World J Surg 10: 814–819PubMedCrossRefGoogle Scholar
  77. 77.
    Morowitz D, Kirsner JB (1981) Ileostomy in ulcerative colitis. Ann J Surg 141: 370–375CrossRefGoogle Scholar
  78. 78.
    Morson BC (1968) Pathology of ulcerative colitis. Bailliere Tindall and Cassell, LondonGoogle Scholar
  79. 79.
    Morson BC (1983) Kolorektale Biopsie bei entzundlichen Darmerkrankungen. Leber Magen Darm 13: 261–269PubMedGoogle Scholar
  80. 80.
    Mottet NK (1971) Histopathologic spectrum of regional enteritis and ulcerative colitis. Saunders, Philadelphia, Major problems in pathology, vol 2Google Scholar
  81. 81.
    Muto T, Kamiya J, Sawada T, Kubota Y, Morioka Y, Chida T, Okamura N, Nakaya R (1985) Die Beziehung zwischen Bacteroides und Colitis ulcerosa. Colonproctogy 2: 73–74Google Scholar
  82. 82.
    Nasmyth DG, Johnston D, Godwin PGR, Dixon MF, Williams NS, Smith A (1986) Factors influencing bowel function after ileal pouch-anal anastomosis. Br J Surg 73: 469–473PubMedCrossRefGoogle Scholar
  83. 83.
    Neal DE, Johnston D, Williams NS (1982) Rectal, bladder and sexual function after mucosal proctectomy with and without a pelvic reservoir for colitis and polyposis. Br J Surg 69: 599–604PubMedCrossRefGoogle Scholar
  84. 84.
    Nicholls RJ, Pezim ME (1985) Restorative proctocolectomy with ileal reservoir for ulcerative colitis and familial adenomatous polyposis: a comparison of three reservoir designs. Br J Surg 72: 470–474PubMedCrossRefGoogle Scholar
  85. 85.
    Nicholls JR, Moskowitz RL, Shepherd NA (1985) Restorative proctocolectomy with ileal reservoir. Br J Surg 72: 76–79CrossRefGoogle Scholar
  86. 86.
    Nicholls J, Pescatori M, Motson RW, Pezim ME (1984) Restorative proctocolectomy with a three-loop ileal reservoir for ulcerative colitis and familial adenomatous polyposis. Ann Surg 199: 383–388PubMedCrossRefGoogle Scholar
  87. 87.
    Nostrant TT (1987) Histopathology differentiates acute self-limited colitis from ulcerative colitis. Gastroenterology 92: 318–328PubMedGoogle Scholar
  88. 88.
    Nugent FW, Haggitt RC, Colcher H, Kutteruf GC (1979) Malignant potential of chronic ulcerative colitis. Gastroenterology 76: 1PubMedGoogle Scholar
  89. 89.
    Ottenjann R, Burlefinger RJ (1992) Inflammatory Bowel disease. Endoscopy 24: 73–79PubMedCrossRefGoogle Scholar
  90. 90.
    Ottenjann R (1994) Inflammatory bowel disease. Endoscopy 26: 64–69PubMedCrossRefGoogle Scholar
  91. 91.
    Otto HF (1981) Immunpathologsiche und ultrastrukturelle Aspekte der Colitis ulcerosa. Schweiz Med Wochenschr 111: 768–773PubMedGoogle Scholar
  92. 92.
    Parks AG (1982) Die Rekonstruktion des Anus naturalis mittels Reservoir. Chirurg 53: 611–615PubMedGoogle Scholar
  93. 93.
    Pemberton JH, Beart RW, Hepell J, Dozois R, Telander RL (1982) Endorectal ileoanal anastomosis. Surg Gynecol Ob-stet 155: 417–424Google Scholar
  94. 94.
    Riddell RH, Morson BC (1979) Value of sigmoidoscopy and biopsy in detection of carcinoma and premalignant change in ulcerative colitis. Gut 1: 575–580CrossRefGoogle Scholar
  95. 95.
    Riemann JF (1982) Aetiologische Aspekte von M. Crohn und Colitis ulcerosa. In: Gall FP, Groitl H (eds) Entzundliche Erkrankungen des Dunn- und Dickdarmes. Perimed, Er-langenGoogle Scholar
  96. 96.
    Rijk MCM, Van Haelst U, Van Tongeren JHM (1993) Colitis granulomatosa und Colitis ulcerosa aus der Sicht des In-ternisten: Epidemiologic, Pathologie, Diagnostik. Chir Gastroenterol 9 [Suppl 1]: 5–24CrossRefGoogle Scholar
  97. 97.
    Ritchie J, Lennard-Jones J (1978) Clinical outcome of the first ten years of ulcerative colitis and proctitis. Lancet 2: 1140–1143CrossRefGoogle Scholar
  98. 98.
    Roth JLA (1969) Ulcerative colitis. In. Bockus HL (ed) Gastroenterology. Saunders, Philadelphia, pp 645–749Google Scholar
  99. 99.
    Rothenberger DA, Vemevlen FD; Christenson CE, Balcos EG, Nemer FD, Goldberg S, Belliveau P, Novatrngs S, Schottler JL, Kennedy HL, Fang DI (1983) Restorative proctocolectomy with ileal reservoir and anastomosis. Am J Surg 145: 82–88PubMedCrossRefGoogle Scholar
  100. 100.
    Sandborn WJ, Tremaine WJ, Schroeder KW, Steiner BL, Batts KP, Lawson GM (1993) Cyclosporin enemas for treatment-resistent, mildly to moderately active, left-sided ulcerative colitis. Am J Gastroenterol 88: 640–645PubMedGoogle Scholar
  101. 101.
    Sauberli H, Akovbiantz A, Hahnloser P (1982) Die chirur-gische Behandlung der Colitis ulcerosa — Verbesserung der Lebensqualitat durch kontinente Ileostomie? Extracta Gas-troenterologica 11: 177–197Google Scholar
  102. 102.
    Sauberli H (1986) Colitis ulcerosa und M. Crohn — chirur-gische Aspekte. Schweiz Rundschau Med (Praxis) 75: 283–289Google Scholar
  103. 103.
    Saxon A, Shahanan F, Landers C, Ganz R, Targan S (1990) A distinct subset of antineutrophil cytoplasmic antibodies is associated with inflammatory bowel disease. J Allergy Clin Immunol 86: 202–210PubMedCrossRefGoogle Scholar
  104. 104.
    Schofield PF, Manson JM (1986) Indications for and results of operation in inflammatory bowel disease. J R Soc Med 79:593–595PubMedCentralPubMedGoogle Scholar
  105. 105.
    Seelig MH, Uhlig H, Braun J, Schumpelick V (1996) Chirur-gische Therapie der schweren Colitis. Chirurg 67: 150–154PubMedGoogle Scholar
  106. 106.
    Shah SA, Peppercorn MA (1995) Inflammatory bowel disease therapy: an update. Comprehensive Ther 21: 296–302Google Scholar
  107. 107.
    Siegel A, Botticher R, Supala K (1977) Urologische Kom-plikationen chronisch-entzundlicher Darmerkrankungen. Chirurg 48: 262–266Google Scholar
  108. 108.
    Spencer CA, McTravish D (1995) Budenoside. Drugs 50: 854–872Google Scholar
  109. 109.
    Stonnington CM, Phillips SF, Melton LJ, Zinsmeister AR (1987) Chronic ulcerative colitis: incidence and prevalence in a community. Gut 28: 402–409PubMedCrossRefGoogle Scholar
  110. 110.
    Surawicz CM (1987) Diagnosing colitis: biopsy is best. Gastroenterology 92: 538–540PubMedGoogle Scholar
  111. 111.
    Taylor BM, Beart RW (1983) Straight ilioanal anastomosis versus ileal pouch-anal anastomosis after colectomy and mucosal proctectomy. Arch Surg 118: 696–701PubMedCrossRefGoogle Scholar
  112. 112.
    Taylor BM, Beart RW, Dozois RR, Cranley B, Kelly KA, Phillips SF (1983) A clinico-physiological comparison of ileal pouch-anal and straight ileoanal anastomosis. Ann Surg 198: 462–468PubMedCrossRefGoogle Scholar
  113. 113.
    Truelove SC (1984) Ulcerative colitis. Update postgraduate centre series. Update, LondonGoogle Scholar
  114. 114.
    Truelove SC, Witts LJ (1954) Cortisone and corticotrophine in ulcerative colitis. Br Med J 1: 387CrossRefGoogle Scholar
  115. 115.
    Turnbull RB (1970) Choice of operation for the toxic megacolon phase of nonspecific ulcerative colitis. Surg Clin N Am 50: 1151–1169PubMedGoogle Scholar
  116. 116.
    Van Heerden J, McIlrath DC, Adson MA (1978) The surgical aspects of chronic mucosal inflammatory bowel disease. Ann Surg 187: 536–541PubMedCrossRefGoogle Scholar
  117. 117.
    Utsonomiya MD, Iwama T, Imajo M, Matsudo S, Sawai S, Yaegashi K, Hirayama R (1980) Total colectomy, mucosal proctectomy and ileoanal anastomosis. Dis Colon Rectum 23:459–466CrossRefGoogle Scholar
  118. 118.
    Watkinson G (1973) Colitis ulcerosa. In: Demling L et al. (eds) Klinische Gastroenterologie. Thieme, StuttgartGoogle Scholar
  119. 119.
    Williams WS, Johnston D (1985) The current status of mucosal proctectomy and ileo-anal anastomosis in the surgical treatment of ulcerative colitits and adenomatous polyposis. Br J Surg 72: 159–168PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • H. Wehrli
  • A. Akovbiantz

There are no affiliations available

Personalised recommendations