Restorative Proctocolectomy

Authors

  • Martin Martin Dzierzanowski Faculty of Medicine Dalhousie University
  • Bernard P. McIntyre Department of Surgery QEII Health Sciences Centre Halifax, Nova Scotia

DOI:

https://doi.org/10.15273/dmj.Vol26No2.4415

Abstract

The purpose of this study was to evaluate restorative proctocolectomy (RPC) as a treatment for ulcerative colitis (UC) and familial adenomatous polyposis (FAP). RPC is currently the standard treatment for patients undergoing surgery for these conditions. The evaluation is based upon results of procedures performed on 52 patients by a single physician in a tertiary care centre. The study looked at 28 females and 24 males ranging in age from 17 to 62. The median patient age was 30. Fifty patients were diagnosed with UC and 2 with FAP. There was a 15% incidence of pelvic sepsis, a 21% incidence of small bowel obstruction, and a 17% incidence of pouchitis. The procedure failed in only 2 patients (4%), who ultimately required a permanent ileostomy. There were also good clinical results regarding newly constructed neorectal reservoir function. These results suggest that RPC is a viable option for the treatment of UC and FAP.

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How to Cite

Martin Dzierzanowski, M., & McIntyre, B. P. (1998). Restorative Proctocolectomy. DALHOUSIE MEDICAL JOURNAL, 26(2). https://doi.org/10.15273/dmj.Vol26No2.4415

Issue

Vol. 26 No. 2 (1998)

Section

Original Research

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