| Theme | Up-to-date Treatment for Inflammatory Bowel Diseases | |
|---|---|---|
| Title | Surgical Treatment for Ulcerative Colitis | |
| Publish Date | 2008/05 | |
| Author | Kouhei Fukushima | Division of Surgical and Molecular Pathrophysiology, Department of Biomedical Engineering, Tohoku University Gradeate School of Medicine / Division of Biological-Regulation and Oncology, Department of Surgery, Tohoku University Gradeate School of Medicine |
| Author | Hitoshi Ogawa | Division of Biological-Regulation and Oncology, Department of Surgery, Tohoku University Gradeate School of Medicine |
| Author | Munenori Nagao | Division of Biological-Regulation and Oncology, Department of Surgery, Tohoku University Gradeate School of Medicine |
| Author | Kazuhiro Watanabe | Division of Biological-Regulation and Oncology, Department of Surgery, Tohoku University Gradeate School of Medicine |
| Author | Katsumasa Kudo | Division of Biological-Regulation and Oncology, Department of Surgery, Tohoku University Gradeate School of Medicine |
| Author | Iwao Sasaki | Division of Biological-Regulation and Oncology, Department of Surgery, Tohoku University Gradeate School of Medicine |
| Author | Ken-ichi Takahashi | Department of Colorectal Surgery, Tohoku Rosai Hospital |
| Author | Yuji Funayama | Department of Colorectal Surgery, Tohoku Rosai Hospital |
| [ Summary ] | The role of surgery has become more important in the field of ulcerative colitis therapy because of the increasing number of cases, operative indications for intractable cases, and advances in cancer development. In the past two decades, total proctocolectomies and ileo-anal (canal) anastomosis have come to be accepted as standard operations, which will probably cure the disease and can preserve the anus. This procedure is recognized as an outstanding treatment not only in terms of mere lifesaving ability but is considered to be a standard internal medicine treatment. However, several problems remain to be solved, such as indications for surgery, timing of operations, multi-step surgery, results over long periods of time, and pouchitis. | |