Long term follow-up of surgical treatment for ulcerative colitis—With special reference to recurrence and the quality of life— View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1986-01

AUTHORS

Iwao Sasaki, Yuji Funayama, Hiroo Naito, Morihiko Toda, Toshio Sato

ABSTRACT

From 1961 to 1984, fifty-one patients with ulcerative colitis were surgically treated at Tohoku University Hospital. The results of various types of surgical treatments for ulcerative colitis were analysed and discussed with special reference to recurrence and the quality of life at the time of follow-up. Total colitis and left-sided colitis were observed in 42 and 9 patients, respectively. There were five operative deaths. Thirteen patients received total proctocolectomy and 38 patients received various types of conservative operations at thefirst operation. In seven patients there was a recurrence of the disease in the retained colon or rectum and proctocolectomy with ileostomy was carried out. Forty-six patients were followed. Four died of other diseases and two were lost to follow-up. The periods of follow-up after the final operation ranged from 3–29 years. The types of operative procedures were ileostomy in 19, ascendicostomy in 14, ileoproctostomy in 6 and ascendicoproctostomy in 1 patient. Following treatment of recurrence of the disease, in most patients who had undergone various surgical treatments, favorable results of quality of life were attained, even in those with ileostomy. These results indicate that it is important to select the most proper types of operative procedures for surgical treatment of ulcerative colitis by individualizing each case. More... »

PAGES

22-28

References to SciGraph publications

  • 1980-03. Progress report on the continent ileostomy in WORLD JOURNAL OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf02471065

    DOI

    http://dx.doi.org/10.1007/bf02471065

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1028770805

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/3959357


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