[Reconstruction of proctocolectomy: which is the best surgical procedure?].

Total proctocolectomy is commonly performed in patients with ulcerative colitis or familial adenomatosis coli. The standard surgical procedure for reconstruction is the ileal pouch anal anastomosis with rectal mucosal stripping (IPAA), which is radical treatment for the disease, or stapled ileal pouch anal anastomosis with preserved anal canal (stapled IPAA), which results in a lower incidence of soiling with a high possibility of one-stage surgery. Postoperative cancer surveillance colonoscopy is recommended in patients with stapled IPAA, and patients with IPAA have also at risk for cancer in the anastomotic site, although at very low incidence.

Incidence and outcome of complications following restorative proctocolectomy.

Background: Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy.

Methods: In 96.3% of patients, the pouch was anastomosed using the double stapling method.