Total Abdominal Colectomy: Indications and Technique

  • Walter E. Longo
  • Anthony M. Vernava


A surgical approach is chosen for Crohn’s colitis when either medical therapy has been initiated and failed, medication has significant side effects, or because of the development of complications of the disease such as perforation, abscess, fistula, obstruction, hemorrhage, toxicity, poor bowel function, malnutrition, or extra intestinal manifestations. The decision for surgery should be unanimous between patient, gastroenterologist, and surgeon. Timing of the procedure is importance since this involves having the patient in both an optimal nutritional and emotional state and not delaying resection when it is inevitable. Basic principles regarding the surgery of Crohn’s disease such as bowel conservation, margins of resection and timing of surgery have been discussed in earlier chapters.


Splenic Flexure Loop Ileostomy Ileorectal Anastomosis Toxic Megacolon Total Abdominal Colectomy 
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© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Walter E. Longo
  • Anthony M. Vernava

There are no affiliations available

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