Abstract
Panproctocolectomy with a permanent incontinent ileostomy has become the gold standard in the surgical management of ulcerative colitis, and is often necessary in the treatment of polyposis coli. The advantage of this technique is that it completely removes all intestinal disease in one stage, with a low operative mortality, and eliminates the possibility of malignant change. Many patients, however, regard the acquisition of a stoma for the remainder of their lives as a major disadvantage. This latter factor may cause patients to delay surgery beyond the optimum time, and dissuade polyposis families from undergoing screening evaluation.
References
Ravitch MM. Anal ileostomy with sphincter preservation in patients requiring total colectomy for benign condition . Surgery 1948:24:170-187
Ravitch MM, Sabiston DC. Jr. Anal ileostomy with preservation of the sphincter: A proposed operation in patients requiring total colectomy for benign lesions. Surg Gynecol Obstet 1947;84:1095-1099
Martin LW, LeCoultre C, Schubert WK. Total colectomy and mucosal proctectomy with preservation of continence in ulcerative colitis. Ann Surg 1977;186(4):477-80. Available from: https://doi.org/10.1097/00000658-197710000-00009
Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. Br Med J 1978;2(6130):85-8. Available from: https://doi.org/10.1136/bmj.2.6130.85
Utsunomiya J, Iwama T.,et al. Total colectomy, mucosal proctectomy and ileoanal anastomosis. Dis Colon Rectum 1980; 23:459-466. Available from: https://doi.org/10.1007/BF02987076
Nicholls RJ, Pezim ME. Restorative procto-colectomy with ileal reservoir for ulcerative colitis and familial adenomatous polyposis : A comparison of three reservoir designs. Br J Surg 1985;72:470-474. Available from: https://doi.org/10.1002/bjs.1800720622
Fonklalsrud EW. Endorectal ileal pull through with lateral ileal reservoir for benign colorectal disease. Ann Surg 1981;194:761-766. Available from: https://doi.org/10.1097/00000658-198112000-00017
Parks AG, Nicholls RJ, Belliveau P. Proctocolectomy with ileal reservoir and anal anastomosis. Br J Surg 1980;67:533-538. Available from: https://doi.org/10.1002/bjs.1800670802
Becker JM, Raymond JL. Ileal pouch - anal anastomosis; a single surgeon 's experience with 100 consecutive cases. Ann Surg 1986;204:375-383. Available from: https://doi.org/10.1097/00000658-198610000-00005
Nicholls RJ, Lubowski DZ. Restorative proctocolectomy; The four loop (W) reservoir. Br J Surg 1987;74:564-566. Available from: https://doi.org/10.1002/bjs.1800740705
Fonkalsurd EW. Update on clinical experience with different surgical techniques on the endorectal pullthrough operation for colitis and polyposis. Surg Gynecol Obstet. 1987;165:309-316
Keighley MRB, Winslet MC, Flinn R, Kuriot W. Multivariate analysis of factors influencing the results of restorative proctocolectomy. Br J Surg 1989;76(7):740-744. Available from: https://doi.org/10.1002/bjs.1800760732