Proctocolectomy without ileostomy for ulcerative colitis.

TLDR

The procedure removes the colon and upper rectum, strips remaining mucosa, constructs a triplicated ileal pouch, draws it through the denuded rectum, anastomoses it to the mid‑anal canal via a per‑anal approach, and creates a temporary ileostomy. Among eight patients, five were evaluated, four reported high satisfaction with improved health and function, and three were still awaiting ileostomy closure.

Abstract

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.