The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Long-Term Failure After Restorative Proctocolectomy for Ulcerative Colitis
Open accessAbstract
OBJECTIVE: To establish the incidence and causes of late failure in patients undergoing restorative proctocolectomy for a preoperative diagnosis of ulcerative colitis was the objective of this investigation. SUMMARY BACKGROUND DATA: Restorative proctocolectomy is the elective surgical procedure of choice for ulcerative colitis. Most patients have a satisfactory outcome but failures occur. The reasons and rates of early failure are well documented, but there is little information on long-term failure. METHODS: A series of 634 patients (298 females, 336 males) underwent restorative proctocolectomy for inflammatory bowel disease between 1976-1997, with a mean follow-up of 85 +/- 58 months. Failure was defined as removal of the pouch or the need for an indefinite ileostomy. It was divided into early and late, occurring within 1 year or more than 1 year postoperatively. RESULTS There were 3 (0.5%) postoperative deaths, leaving 631 patients for analysis. Of these, 23 subsequently died (disseminated large bowel cancer, 12; unrelated causes, 9; related causes, 2). There were 61 (9.7%) failures (15 early [25%], 46 late [75%]) due to pelvic sepsis (32 [52%]: 7 early, 25 late), poor function (18 [30%]: 2 early, 16 late), pouchitis (7 [11%]: 2 early, 5 late) and miscellaneous (4, all early). A final diagnosis of Crohn's disease, type of reservoir (J,S), female gender, postoperative pelvic sepsis and a one-stage procedure were significantly associated with failure. Failure rate rose with time of follow-up from 9% at 5 years to 13% at 10 years. CONCLUSIONS: Pelvic sepsis and poor function were the main reasons for later failure. Failure rates should be reported based on the duration of follow-up.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
IIeal Pouch-Anal Anastomoses Complications and Function in 1005 Patients
Fazio, V. W., Ziv, Y., Church, J. M., Oakley, J. R., Lavery, I. C., Milsom, J. W., & Schroeder, T. K. (1995) · Annals of Surgery · doi:10.1097/00000658-199508000-00003 · Cited by 1,204
Meagher, A. P., Farouk, R., Dozois, R. R., Kelly, K. A., & Pemberton, J. H. (1998) · Journal of British Surgery · doi:10.1046/j.1365-2168.1998.00689.x · Cited by 611
Long-term Results of the Ileoanal Pouch Procedure
Marcello, P. W. (1993) · Archives of Surgery · doi:10.1001/archsurg.1993.01420170030003 · Cited by 190
Risk factors for pelvic pouch failure
MacRae, H. M., McLeod, R. S., Cohen, Z., O'Connor, B. I., & Ton, E. N. C. (1997) · Diseases of the Colon & Rectum · doi:10.1007/bf02050412 · Cited by 175
Long-term results of ileal pouch-anal anastomosis for colorectal Crohn's disease
Regimbeau, J. M., Panis, Y., Pocard, M., Bouhnik, Y., Lavergne-Slove, A., Rufat, P., Matuchansky, C., & Valleur, P. (2001) · Diseases of the Colon & Rectum · doi:10.1007/bf02234693 · Cited by 172
Dozois, R. R., Kelly, K. A., Welling, D. R., Gordon, H., Beart, R. W., Wolff, B. G., Pembérton, J. H., & Ilstrup, D. M. (1989) · Annals of Surgery · doi:10.1097/00000658-198909000-00002 · Cited by 170
Inflammation in ileal reservoirs: 'pouchitis'.
Madden, M., Farthing, M. J. G., & Nicholls, R. J. (1990) · Gut · doi:10.1136/gut.31.3.247 · Cited by 157
Gemlo, B. T. (1992) · Archives of Surgery · doi:10.1001/archsurg.1992.01420070036009 · Cited by 155
Causes of failure and life expectancy of the ileoanal pouch
Körsgen, S., & Keighley, M. R. B. (1997) · International Journal of Colorectal Disease · doi:10.1007/s003840050069 · Cited by 100
Disconnection, pouch revision and reconnection of the ileal pouch-anal anastomosis
Sagar, P. M., Dozois, R. R., Wolff, B. G., & Kelly, K. A. (1996) · British journal of surgery · doi:10.1002/bjs.1800831025 · Cited by 99
Cited by
Magro, F., Gionchetti, P., Eliakim, R., Ardizzone, S., Armuzzi, A., Barreiro-de Acosta, M., Burisch, J., Gecse, K. B., Hart, A. L., Hindryckx, P., et al. (2017) · Journal of Crohn's and Colitis · doi:10.1093/ecco-jcc/jjx008 · Cited by 1,910
Dignass, A., Lindsay, J. O., Sturm, A., Windsor, A., Colombel, J.-F., Allez, M., D'Haens, G., D'Hoore, A., Mantzaris, G., Novacek, G., et al. (2012) · Journal of Crohn's and Colitis · doi:10.1016/j.crohns.2012.09.002 · Cited by 1,548
Stange, E. F., Travis, S. P. L., Vermeire, S., Reinisch, W., Geboes, K., Barakauskiene, A., Feakins, R., Fléjou, J. F., Herfarth, H., Hommes, D. W., et al. (2008) · Journal of Crohn's and Colitis · doi:10.1016/j.crohns.2007.11.001 · Cited by 555
European evidence based consensus on surgery for ulcerative colitis
Øresland, T., Bemelman, W. A., Sampietro, G. M., Spinelli, A., Windsor, A., Ferrante, M., Marteau, P., Zmora, O., Kotze, P. G., Espin-Basany, E., et al. (2015) · Journal of Crohn's and Colitis · doi:10.1016/j.crohns.2014.08.012 · Cited by 353
Metadata
- Authors
- Tulchinsky, H., Hawley, P. R., & Nicholls, J.
- Venue
- Annals of Surgery
- Published
- 2003-08
- Volume
- 238
- Issue
- 2
- Pages
- 229-234
- ISSN
- 0003-4932 (ISSN-L)
- OpenAlex
- W2037261446
- Cited by
- 323
- References
- 14
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- green
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Long-Term Failure After Restorative Proctocolectomy for Ulcerative Colitis. https://app.cochat.ai/papers/10.1097/01.sla.0000082121.84763.4c
- The paper
- Tulchinsky, H., Hawley, P. R., & Nicholls, J. (2003). Long-Term Failure After Restorative Proctocolectomy for Ulcerative Colitis. Annals of Surgery. https://doi.org/10.1097/01.sla.0000082121.84763.4c
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
