Complications of Restorative Proctocolectomy

  • D. Kumar


The concept of an ileal pouch-anal anastomosis is attractive to the patient because it eliminates the need for a permanent ileostomy and is also attractive to the surgeon because it cures the patient of ulcerative colitis. Although the mortality from this complex procedure is remarkably low, there is a substantial morbidity. Approximately a third of all patients will develop complications (Hulten 1986; Vasilevsky et al. 1987; Beart 1988). The commonest complications following restorative proctocolectomy are:
  1. 1.

    Haemorrhage from the pouch

  2. 2.

    Leak from the pouch suture line

  3. 3.

    Pouch necrosis

  4. 4.

    Pouch-anal anastomotic stenosis

  5. 5.

    Pelvic sepsis

  6. 6.

    Intestinal obstruction

  7. 7.


  8. 8.

    Pouch-anal or pouch-vaginal fistulae

  9. 9.

    Pouch failure



Ulcerative Colitis Ileal Pouch Restorative Proctocolectomy Pelvic Sepsis Ileoanal Anastomosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag London Limited 1993

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  • D. Kumar

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