Risultati clinici e funzionali dopo proctocolectomia restaurativa con serbatoio ileale a J nel trattamento della colite ulcerosa


COD: 2002_03_287-298 Categorie: ,

P.L. Colombo, F.P. Tinozzi, M. Abelli, G. Pini, M. Benedetti, P. Moglia, G. Morone, S. Albertario, P. Forti, M.R. Laera, C. Bianchi, S. Tinozzi

Ann. Ital. Chir., LXXIII, 3, 2002

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Purpose: Restorative proctocolectomy is the procedure of choice in the treatment of ulcerative colitis. The operation is successful in removing all diseased mucosa while preserving a normal bowel function and a good quality of life for the patient. In this article are presented the clinical and functional results obtained in 28 patients, 19 males (68%) and 9 females (32%) after stapled restorative proctocolectomy with ileal J pouch-anal anastomosis. Results: There were no perioperative deaths. The overall morbidity rate was 31%. Six patients (21%) presented pelvic abscess; 2 (7%) pelvic hematoma, 4 patients (14%) ileo-anal anastomotic stricture, 1 patient (3,6%) pouchvagina fistula, three patients (11%) intestinal obstruction and 7 (25%) pouchitis.