Role of ileorectal anastomosis in the treatment of ulcerative colitis and familial polyposis

G. Romano, F. Salzano De Luna, P. Giamundo, M. L. Santangelo

Research output: Contribution to journalArticle

Abstract

A 25-year experience with 109 patients treated with ileorectal anastomosis over 147 patients observed for ulcerative colitis and 25 patients undergoing the same surgical procedure for familial poliposis, is reported. Excellent functional results were obtained, associated to satisfactory ones with respect to inflammatory recurrence and cancer development in the rectal stump. Of 86 patients with ulcerative colitis who were followed-up, only 7 (8.1%) required proctectomy at longterm for a severe inflammatory recurrence, and 4 (4.6%) have developed a cancer in the following 3 to 20 years. Of the 17 followed-up patients, over the 25 operated for familial polyposis, only 1 (5.8%) has developped a cancer between 3 and 20 years. It is concluded that ilecorectal anastomosis with a close follow-up still plays a major role because is an easier surgical procedure as compared to ileoanal anastomosis, with excellent functional results, a shorter hospitalization and mainly a lower number of severe complications, which are presently burdening the results of ileoanal anastomosis.

Original languageEnglish
Pages (from-to)135-140
Number of pages6
JournalItalian Journal of Surgical Sciences
Volume17
Issue number2
Publication statusPublished - 1987

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Ulcerative Colitis
Therapeutics
Recurrence
Neoplasms
Hospitalization

ASJC Scopus subject areas

  • Surgery

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Role of ileorectal anastomosis in the treatment of ulcerative colitis and familial polyposis. / Romano, G.; Salzano De Luna, F.; Giamundo, P.; Santangelo, M. L.

In: Italian Journal of Surgical Sciences, Vol. 17, No. 2, 1987, p. 135-140.

Research output: Contribution to journalArticle

Romano, G. ; Salzano De Luna, F. ; Giamundo, P. ; Santangelo, M. L. / Role of ileorectal anastomosis in the treatment of ulcerative colitis and familial polyposis. In: Italian Journal of Surgical Sciences. 1987 ; Vol. 17, No. 2. pp. 135-140.
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