Abstract
Objective: This study determined predictive factors for postoperative complications and outcome after ileal pouch-anal anastomosis in patients with ulcerative colitis and primary sclerosing cholangitis. Summary Background Data: Patients with ulcerative colitis and primary sclerosing cholangitis treated by colectomy and ileostomy are at high risk of troublesome bleeding from peristomal varices. Methods: Postoperative complications and outcome were assessed in 40 patients with ulcerative colitis and sclerosing cholangitis who received an ileal pouch-anal anastomosis between January 1981 and February 1990. Results: Immediate postoperative and remote ileoanal anastomosis-related complications were high but related directly to the severity of liver disease. No patient had perianastomotic anal bleeding. Conclusions: In patients with both ulcerative colitis and primary sclerosing cholangitis, ieal pouch-anal anastomosis is safe and is not associated with perianastomotic bleeding.
Original language | English (US) |
---|---|
Pages (from-to) | 314-320 |
Number of pages | 7 |
Journal | Annals of surgery |
Volume | 217 |
Issue number | 4 |
DOIs | |
State | Published - Apr 1993 |
ASJC Scopus subject areas
- Surgery