Abstract
ABSTRACT: BACKGROUND: The aim of this study is to compare the outcome of two sphincter-saving operations for ulcerative colitis namely total colectomy & ileorectal anastamosis (TC-IR) retrospectively with total procto-colectomy & ileo-anal (j) pouch anastamosis (TC-IA) prospectively. METHODS: Surgery was indicated in 89(7.84%) among 1135 patients with ulcerative colitis of these; 57 subjected to TC-IR (Group A) during period 1968-1990 and 32 to TPC-IA (Group B) between 1991-2005, by Z R Al-Bahrani at the Medical City Teaching Hospital and Al-Mustansiria Private Hospital, Baghdad. RESULTS: Of these 89 patients, 41 were males and 48 were females. Mean (range) age in years was 35.5+/-13.3 (12-65). Indications for surgery were; intractability 59(66.2%), carcinoma 13(14.6%), toxic colon 8(9%), sever bleeding 7(8%) and intestinal obstruction 2(2.2%) patients. The type of colitis were; pan-colitis 72(81%), left colitis 16(17.9%) and procto-sigmoiditis one (1.1%) patient. Pseudo-polyposis was seen in 52(58.5%) patients. The outcome of Group A (57 patients) were; post-operative mortality 2(3.5%), 1-3 complications minor and/or major in 31(53.4%) patients. After operation; normal defecation, bowel motion/day reduced from 8 to 5 (P
Recommended Citation
Al-Bahrani, Zuhair R
(2006)
"Total Colectomy and Ileo-Rectal anastamosis Versus Total Procto-Colectomy and Ileo-anal (j) Pouch Anastamosis for Ulcerative Colitis,"
Iraqi Postgraduate Medical Journal: Vol. 5:
Iss.
4, Article 1.
Available at:
https://www.ipmj.org/journal/vol5/iss4/1