Restorative proctocolectomy without loop diversion

S. R. Gorfine

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Restorative proctocolectomy (RPC) by abdominal colectomy and ileal pouch- anal anastomosis in the setting of chronic ulcerative colitis and familial adenomatous polyposis has gained widespread popularity among surgeons and patients. Traditionally, temporary loop ileostomy has been established proximal to the ileal pouch in an effort to mitigate the effects of any suture line complications that may occur. Recent studies show similar functional results and rates of complications after RPC with and without temporary ileostomy. Elimination of the diverting ileostomy obviates a second or third surgical procedure, and results in significantly fewer episodes of intestinal obstruction, fewer instances of re-exploration, and fewer total days in the hospital. Criteria identifying those patients suitable for RPC without ileostomy remain to be clearly defined.

Original languageEnglish
Pages (from-to)84-88
Number of pages5
JournalSeminars in Colon and Rectal Surgery
Volume7
Issue number2
StatePublished - 1996

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