Restorative proctocolectomy for ulcerative colitis : Long-term functional results and quality of life

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
Emile RijckenRudolf Mennigen

Abstract

Restorative proctocolectomy with ileo-pouch-anal anastomosis is the standard procedure for ulcerative colitis. It provides complete removal of the diseased colorectum, avoids permanent ileostomy and allows the preservation of continence. Functional results and quality of life after restorative proctocolectomy are of great importance. Patients usually have 5-6 bowel movements per day, and continence is satisfactory in more than 90% of patients. A good pouch function strongly correlates with high quality of life. Postoperative septic complications are the main risk factor for bad pouch function and pouch failure; therefore nowadays most procedures are performed with a covering ileostomy. Quality of life is usually impaired by active ulcerative colitis, and restorative proctocolectomy improves the quality of life up to the level of a healthy reference population. Taken together, restorative proctocolectomy provides excellent results concerning function and quality of life.

References

Jan 1, 1989·International Journal of Colorectal Disease·T OreslandL Hultén
Apr 27, 2002·American Journal of Surgery·Bruce RobbMichael Nussbaum
Jun 5, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·E CarmonM Rabau
Aug 31, 2006·Journal of Clinical Gastroenterology·Gary R LichtensteinRobert H Diamond
Jan 17, 2007·The British Journal of Surgery·D HahnloserR R Dozois
Apr 17, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R E LovegroveP P Tekkis
Sep 1, 2007·Diseases of the Colon and Rectum·Ina BerndtssonLars Börjesson
Jan 24, 2008·Diseases of the Colon and Rectum·David W LarsonJohn H Pemberton
Feb 13, 2008·Diseases of the Colon and Rectum·Katherine Mary HodaKaren E Deveney
Apr 23, 2008·Archives of Surgery·Gina K Weston-PetridesParis P Tekkis
May 6, 2008·Diseases of the Colon and Rectum·R Justin DaviesRobin S McLeod
Dec 17, 2009·The British Journal of Surgery·A da Luz MoreiraI Lavery
May 18, 2010·The British Journal of Surgery·R E LovegroveP P Tekkis
Aug 26, 2011·Zeitschrift für Gastroenterologie·A DignassA Stallmach
Jun 19, 2012·Diseases of the Colon and Rectum·Philipp-Alexander NeumannEmile Rijcken
Oct 10, 2012·Diseases of the Colon and Rectum·Kevin KuruvillaNeil H Hyman
Jan 10, 2013·Annals of Surgery·Victor Warren FazioSean T Martin
Oct 10, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S BrandsborgS Laurberg
Mar 26, 2014·Journal of Crohn's & Colitis·A de Buck van OverstraetenA D'Hoore
Aug 8, 2015·Diseases of the Colon and Rectum·Patrick B MurphyLuc Dubois
Sep 30, 2016·International Journal of Colorectal Disease·Gentilini LorenzoPoggioli Gilberto

❮ Previous
Next ❯

Citations

Aug 16, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·B Jansen-WinkelnI Gockel

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
E GorgunV W Fazio
The British Journal of Surgery
H T TanM R Keighley
© 2022 Meta ULC. All rights reserved