SURGICAL MANAGEMENT OF ULCERATIVE COLITIS: A REPORT OF 13 CASES

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MADAH GH.; MEHRABI BAHAR M.; SHABAHANG H.

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Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2000 | Volume:43 | Issue:67 Page(s): 116-125

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Title

SURGICAL MANAGEMENT OF ULCERATIVE COLITIS: A REPORT OF 13 CASES

Author(s)

MADAH GH. | MEHRABI BAHAR M. | SHABAHANG H. | Issue Writer Certificate

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Abstract

During the past 10 years (1368-1377) 13 patients (7 male, 6 female) whose ranged from 11 to 54 years (mean 29.5 years) with diagnosis of ulcerative colitis were operated at Ghaem and Omid hospitals. Perforation occurred in 5 patients due to toxic megacolon or toxic colitis so they were operated urgently.The operation carried out in these patietns was total colectomy with end ileostomy and preservation of rectum as the initial treatment with 2 postoperative deaths. At the second stage usually 6-11 months later mucosal proctectomy and construction of S pouch from ileum and ileal pouch-anal anatomists (IPAA) with protective ileostomy was done in 3 survivors. After 2 months the ileostomy was removed as a third stage. Elective surgery was performed in 8 patients due to unresponsiveness to medical therapy. Each patient underwent colectomy and standard IPAA and loop ileostomy, and at a second stage after 8 weeks the ileostomy was closed. In one patient whom ileostomy didn't perform was complicated with a pelvic abscess that drained ransperineally with good result fortunately. No operative death occurred in elective patients.Of 11 patients that have had IPAA (3 survivor of urgent operations and 8 elective series) satisfactory function of the reservoir has been achieved in 10 patients. Dysfunctional of reservoir occurred in one patient. He had to catheterize the reservoir to evacuate faeces and this was attributed to the long efferent ileal limb. In this study we analyzed factors affecting technical and functional outcome.

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APA: Copy

MADAH, GH., MEHRABI BAHAR, M., & SHABAHANG, H.. (2000). SURGICAL MANAGEMENT OF ULCERATIVE COLITIS: A REPORT OF 13 CASES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 43(67), 116-125. SID. https://sid.ir/paper/51418/en

Vancouver: Copy

MADAH GH., MEHRABI BAHAR M., SHABAHANG H.. SURGICAL MANAGEMENT OF ULCERATIVE COLITIS: A REPORT OF 13 CASES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2000;43(67):116-125. Available from: https://sid.ir/paper/51418/en

IEEE: Copy

GH. MADAH, M. MEHRABI BAHAR, and H. SHABAHANG, “SURGICAL MANAGEMENT OF ULCERATIVE COLITIS: A REPORT OF 13 CASES,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 43, no. 67, pp. 116–125, 2000, [Online]. Available: https://sid.ir/paper/51418/en

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