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Proctocolectomy without ileostomy for ulcerative colitis.
Open accessAbstract
An operation has been developed that permits total removal of all disease-prone mucosa in ulcerative colitis but avoids the need for a permanent ileostomy. The colon and upper half of the rectum are excised and the remaining inflamed mucosa is stripped from the rectal stump down to the dentate line of the anal canal. A pouch is fashioned from a triplicated loop of terminal ileum. This is drawn down through the denuded rectum and an anastomosis created, via the per-anal approach, between the ileum just distal to the pouch and the mid-anal canal. A temporary ileostomy is made. Out of eight patients so treated, five were available for assessment, and four of them were highly satisfied with the result in improved health and function. The remaining three were awaiting closure of their ileostomies.
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Citations
Cited by
Recent Developments in Nonspecific Inflammatory Bowel Disease
Kirsner, J. B., & Shorter, R. G. (1982) · New England Journal of Medicine · doi:10.1056/nejm198204013061304 · Cited by 329
Delaney, C. P., Fazio, V. W., Remzi, F. H., Hammel, J., Church, J. M., Hull, T. L., Senagore, A. J., Strong, S. A., & Lavery, I. C. (2003) · Annals of Surgery · doi:10.1097/01.sla.0000080825.95166.26 · Cited by 273
Beyer-Berjot, L., Maggiori, L., Birnbaum, D., Lefevre, J. H., Berdah, S., & Panis, Y. (2013) · Annals of Surgery · doi:10.1097/sla.0b013e3182813741 · Cited by 258
Bacterial and fungal microbiota in relation to probiotic therapy (VSL#3) in pouchitis
Kühbacher, T., Ott, S. J., Helwig, U., Mimura, T., Rizzello, F., Kleessen, B., Gionchetti, P., Blaut, M., Campieri, M., Fölsch, U. R., et al. (2006) · Gut · doi:10.1136/gut.2005.078303 · Cited by 257
Gionchetti, P., Campieri, M., Belluzzi, A., Bertinelli, E., Ferretti, M., Brignola, C., Poggioli, G., Miglioli, M., & Barbara, L. (1994) · Digestive Diseases and Sciences · doi:10.1007/bf02088059 · Cited by 70
Metadata
- Authors
- Parks, A. G., & Nicholls, R. J.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1978-07-08
- Volume
- 2
- Issue
- 6130
- Pages
- 85-88
- ISSN
- 0007-1447 (ISSN-L)
- 1468-5833
- OpenAlex
- W2057965062
- Cited by
- 1,355
- References
- 0
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Parks, A. G., & Nicholls, R. J. (1978). Proctocolectomy without ileostomy for ulcerative colitis. BMJ. https://doi.org/10.1136/bmj.2.6130.85
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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.