Surgical Options in Ulcerative Colitis
The lifetime incidence of colectomy in patients with ulcerative colitis (UC) is traditionally quoted as being in the region of 30%. However, recent population-based cohort evidence from Europe suggests that the colectomy rate after 10 years of disease may be 10% lower [1, 2]. The surgical options are governed by the indication for the surgery as well as patient-related factors including general condition, level of immunosuppression, age, and comorbidities, as well as psychological factors and patient preferences.
KeywordsUlcerative Colitis Restorative Proctocolectomy Pelvic Sepsis Indeterminate Colitis Pouch Failure
- 4.Nicholls RJ, Tekkis PP. Ulcerative colitis. In: Phillips RKS, editor. Colorectal surgery. 3rd ed. Philadelphia: Elsevier/Saunders; 2005. p. 129–62.Google Scholar
- 23.Ahmed AU, Keus F, Heikens JT, Bemelman WA, Berdah SV, Gooszen HG, et al. Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis. Cochrane Database Syst Rev. 2009;(1):CD006267.Google Scholar
- 26.da Luz MA, Kiran RP, Lavery I. Clinical outcomes of ileorectal anastomosis for ulcerative colitis. Br J Surg. 2010;97(1):65–9.Google Scholar