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Abstract
Background. A follow-up study was conducted to evaluate the late results of the operation that
we have performed for ulcerative colitis and polyposis during the past 25 years.
Methods. Sixty-seven consecutive patients less than 21 years of age who underwent a standard
operation for ulcerative colitis or polyposis performed by or under direct supervision
of one surgeon were included in the follow-up study 2 to 15 years after operation.
Results. The 11 patients with polyposis all had “excellent” results. Of the 56 patients with
ulcerative colitis, results were “good” or excellent in 48. Of the eight patients
with less than good results, one died of complications of preexisting muscular dystrophy;
four, or possibly six, had Crohn's disease. Presumably the original disease was Crohn's
colitis instead of ulcerative colitis.
Conclusions. The results of the study suggested that this operation was not appropriate for Crohn's
disease and underscored the importance and the difficulties of differentiating the
two conditions, if they are indeed separate entities.
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References
- Total colectomy with mucosal proctectomy and preservation of continence in ulcerative colitis.Ann Surg. 1977; 186: 477-480
- The critical level for preservation of continence in the ileoanal anastomosis.J Pediatr Surg. 1985; 20: 664-667
- Technical considerations in performing total colectomy and Soave endorectal anastomosis for ulcerative colitis.J Pediatr Surg. 1978; 13: 762-764
Article info
Publication history
Received:
August 16,
1992
Identification
Copyright
© 1993 Published by Elsevier Inc.
