Severe Ulcerative Colitis

Tomas M. Heimann; Robert J. Kurtz

doi:10.1007/978-3-031-62431-5_10

Severe Ulcerative Colitis

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

The indications for surgery in ulcerative colitis are intractability and colorectal cancer risk. Ninety percent of patients in our series undergo surgery for intractability, while 10% are operated for dysplasia. The vast majority of patients with ulcerative colitis undergoing surgery opt to have an ileoanal pull-through procedure. Elderly patients and those with sphincter problems usually are not good candidates for this operation and most undergo proctocolectomy and Brooke ileostomy. We may perform a mucosectomy and hand-sewn ileoanal anastomosis since this operation removes all diseased mucosa or in patients with short mesentery, a stapled ileoanal anastomosis is performed instead.

Original language	English
Title of host publication	Atlas of Surgical Treatment of Inflammatory Bowel Disease
Publisher	Springer Nature
Pages	197-216
Number of pages	20
ISBN (Electronic)	9783031624315
ISBN (Print)	9783031624308
DOIs	https://doi.org/10.1007/978-3-031-62431-5_10
State	Published - 1 Jan 2024

Keywords

Fulminant colitis with hemorrhage
Fulminant ulcerative colitis
Perforation
Pyoderma gangrenosa
Severe ulcerative colitis
Toxic megacolon

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10.1007/978-3-031-62431-5_10

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abstract = "The indications for surgery in ulcerative colitis are intractability and colorectal cancer risk. Ninety percent of patients in our series undergo surgery for intractability, while 10\% are operated for dysplasia. The vast majority of patients with ulcerative colitis undergoing surgery opt to have an ileoanal pull-through procedure. Elderly patients and those with sphincter problems usually are not good candidates for this operation and most undergo proctocolectomy and Brooke ileostomy. We may perform a mucosectomy and hand-sewn ileoanal anastomosis since this operation removes all diseased mucosa or in patients with short mesentery, a stapled ileoanal anastomosis is performed instead.",

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Severe Ulcerative Colitis

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Keywords

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