| Theme |
Advanced Therapy Ulcerative Colitis |
| Title |
Surgical Treatment for Ulcerative Colitis |
| Author |
Tetsuhisa Yamamoto |
1st Department of Surgery, National Defense Medical College |
| Author |
Hidetaka Mochizuki |
1st Department of Surgery, National Defense Medical College |
| [ Summary ] |
The operative indications for ulcerative colitis have recently been expanding, especially in cases refractory to medical treatment. The establishment of surgical techniques and the excellent postoperative outcomes for this disease are the main reasons. Quality of life was compared between emergency and elective operation cases, and between the ileal pouch anal canal anastomosis(IACA) and the ileal pouch anal anastomosis(IAA) procedures. Better results were obtained in the elective and the IACA cases. These data suggest that cases in whom medical treatment fails should be informed of the outcomes of medical or surgical therapy, and that when operative treatment is selected an elective surgical procedure such as IACA is preferred from the view point of postoperative anorectal function. Long term results of the remaining rectal mucosa in the IACA cases merits further investigation. |