Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo

Background: Total colectomy with ileorectal anastomosis (IRA) is an alternative to the ileoanal pouch for the surgical treatment of ulcerative colitis in a selected group of patients. This technique leaves rectal mucosa Hable to develop persistent proctitis, dysplasia and cancer Aim: To describe sho...

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Autores principales:	Bellolio R,Felipe, Zúñiga A,José Miguel, Wagner H,Pablo, Pinedo M,George, Duarte G,Ignacio, Zúñiga D,Alvaro
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Colitis, ulcerative Endoscopy, digestive system Rectal neoplasms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900005
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spelling	oai:scielo:S0034-988720080009000052008-11-12Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazoBellolio R,FelipeZúñiga A,José MiguelWagner H,PabloPinedo M,GeorgeDuarte G,IgnacioZúñiga D,Alvaro Colitis, ulcerative Endoscopy, digestive system Rectal neoplasms Background: Total colectomy with ileorectal anastomosis (IRA) is an alternative to the ileoanal pouch for the surgical treatment of ulcerative colitis in a selected group of patients. This technique leaves rectal mucosa Hable to develop persistent proctitis, dysplasia and cancer Aim: To describe short and long-term results of IRA and to assess the presence of dysplasia. Material and methods: Descriptive study of patients treated with IRA. The data were obtained from the clinical records, and the present status was evaluated with an interview. A proctoscopy and biopsy was offered free of cost to the contacted patients. Results: Between 1978 and 2005, 26 patients were operated. One patient presented an anastomotic leakage that was treated with a loop ileostomy There was no operative mortality. Twenty-three patients were followed for a períod of 1 to 23 years. Three patients evolved as Crohn 's disease and two of them needed a proctectomy. Three patients died of non-related diseases. In the remaining 17, the average evacuation rate was 3.7/24 h and all were continent. None developed a rectal cancer Only two patients had their planned annual endoscopic surveillance. In 2 of the 11 patients who accepted endoscopy and biopsy, a low-grade dysplasia was found. Conclusions: IRA has low morbidity and acceptable functional results in this selected group of patients. No patient present high-grade dysplasia or cancer; however, the adherence to the endoscopic follow-up ispoor.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.9 20082008-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900005es10.4067/S0034-98872008000900005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Colitis, ulcerative Endoscopy, digestive system Rectal neoplasms
spellingShingle	Colitis, ulcerative Endoscopy, digestive system Rectal neoplasms Bellolio R,Felipe Zúñiga A,José Miguel Wagner H,Pablo Pinedo M,George Duarte G,Ignacio Zúñiga D,Alvaro Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo
description	Background: Total colectomy with ileorectal anastomosis (IRA) is an alternative to the ileoanal pouch for the surgical treatment of ulcerative colitis in a selected group of patients. This technique leaves rectal mucosa Hable to develop persistent proctitis, dysplasia and cancer Aim: To describe short and long-term results of IRA and to assess the presence of dysplasia. Material and methods: Descriptive study of patients treated with IRA. The data were obtained from the clinical records, and the present status was evaluated with an interview. A proctoscopy and biopsy was offered free of cost to the contacted patients. Results: Between 1978 and 2005, 26 patients were operated. One patient presented an anastomotic leakage that was treated with a loop ileostomy There was no operative mortality. Twenty-three patients were followed for a períod of 1 to 23 years. Three patients evolved as Crohn 's disease and two of them needed a proctectomy. Three patients died of non-related diseases. In the remaining 17, the average evacuation rate was 3.7/24 h and all were continent. None developed a rectal cancer Only two patients had their planned annual endoscopic surveillance. In 2 of the 11 patients who accepted endoscopy and biopsy, a low-grade dysplasia was found. Conclusions: IRA has low morbidity and acceptable functional results in this selected group of patients. No patient present high-grade dysplasia or cancer; however, the adherence to the endoscopic follow-up ispoor.
author	Bellolio R,Felipe Zúñiga A,José Miguel Wagner H,Pablo Pinedo M,George Duarte G,Ignacio Zúñiga D,Alvaro
author_facet	Bellolio R,Felipe Zúñiga A,José Miguel Wagner H,Pablo Pinedo M,George Duarte G,Ignacio Zúñiga D,Alvaro
author_sort	Bellolio R,Felipe
title	Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo
title_short	Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo
title_full	Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo
title_fullStr	Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo
title_full_unstemmed	Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo
title_sort	anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: resultados a largo plazo
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900005
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Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo

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