Surgery for ulcerative colitis

[Guest guest]

link to article:

www.thesurgeon.net/site/CMD=CRA/ArticleID=c275cc30-8559-402c-976b-a6f55e551f00/0/default.aspx

December 2007 Vol 5 No 6

Surgery for ulcerative colitis

author(s)

M. VellaM. R. MasoodW. S. HendryDepartment of Surgery, Stirling Royal InfirmaryCorrespondence to: S. Hendry, 15 Randolph Road, Stirling, FK8 2AWTel: +44 (0)1786 434438Fax: +44 (0)1786 450588Email: wilson.hendry@...

abstract

Ulcerative colitis is an inflammatory condition of unknown aetiology affecting all or part of the rectum and colon. The mainstay of treatment is medical but there are specific indications for surgical intervention. This article reviews the evolution of surgical management and in particular compares outcome from proctocolectomy and pouch surgery. A number of factors determining choice of procedure are examined, including elective or emergency presentation, patient selection, technical issues, morbidity and quality of life. Emphasis is made regarding a full explanation of these factors so that the patient is fully involved in the final decision regarding choice of procedure.Keywords: Ulcerative colitis, proctocolectomy, ileoanal pouch, patient selection, quality of lifeSurgeon, 1 December 356-62