TY - JOUR
T1 - The dilemma of preservation of the rectum
T2 - Retention of the rectum in colectomy for inflammatory disease of the bowel
AU - Mavroudis, Constantine
AU - Schrock, Theodore R.
PY - 1977/11/1
Y1 - 1977/11/1
N2 - Retention of the rectum in colectomy for inflammatory disease of the bowel minimizes operative morbidity and mortality, especially in emergency operations. When a normal rectum is a requirement for ileoproctostomy, however, very few patients will be candidates, and most of these will have Crohn's disease. In this series, the rectums were retained initially in 58 of 100 patients undergoing colectomy, but only nine patients had ileoproctostomy primarily or secondarily, and only three patients maintained that arrangement over the long term. This policy is biased against ileoproctostomy, but when the rectum is involved by inflammatory disease, it is advisable to do a proctectomy to eliminate the risk of cancer and to restore patients to productive lives.
AB - Retention of the rectum in colectomy for inflammatory disease of the bowel minimizes operative morbidity and mortality, especially in emergency operations. When a normal rectum is a requirement for ileoproctostomy, however, very few patients will be candidates, and most of these will have Crohn's disease. In this series, the rectums were retained initially in 58 of 100 patients undergoing colectomy, but only nine patients had ileoproctostomy primarily or secondarily, and only three patients maintained that arrangement over the long term. This policy is biased against ileoproctostomy, but when the rectum is involved by inflammatory disease, it is advisable to do a proctectomy to eliminate the risk of cancer and to restore patients to productive lives.
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U2 - 10.1007/BF02586680
DO - 10.1007/BF02586680
M3 - Article
C2 - 923390
AN - SCOPUS:0017709374
VL - 20
SP - 644
EP - 648
JO - Diseases of the Colon and Rectum
JF - Diseases of the Colon and Rectum
SN - 0012-3706
IS - 8
ER -