Fourteen patients with complete left-sided obstruction of the colon were treated by a one-stage emergency colectomy and primary ileorectal anastomosis. One patient died from anastomotic leakage. In selected patients the method should be considered as an alternative to the staged procedure.
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Am J Gastroenterol
December 2024
Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Objectives: To prevent colorectal cancer (CRC), most patients with familial adenomatous polyposis (FAP) undergo (procto)colectomy with ileorectal anastomosis (IRA) or ileal pouch-anal anastomosis (IPAA). After surgery, these patients remain at risk of developing cancer in the remnant rectum or rectal cuff/pouch. We aimed to compare the long-term risk of cancer following IRA or IPAA in FAP.
View Article and Find Full Text PDFCureus
October 2024
Medical Laboratory Technology, College of Nursing and Health Sciences, Jazan University, Jazan, SAU.
Tech Coloproctol
November 2024
Department of Colorectal Surgery, St Mark's Hospital, London North West University Healthcare NHS Trust, London, UK.
Introduction: Restorative proctocolectomy (RPC) and total colectomy with ileorectal anastomosis (TC-IRA) are traditional surgical options for individuals with familial adenomatous polyposis (FAP). Re-appraisal and modification to these techniques, such as near-total colectomy with ileo-distal sigmoid anastomosis (NT-IDSA) and RPC with robotic intracorporeal single-stapled anastomosis (RPC-RiSSA), have been implemented in recent years. This study aimed to evaluate the early postoperative outcomes associated with novel techniques employed in a single centre for restorative surgery in patients with FAP.
View Article and Find Full Text PDFScand J Gastroenterol
December 2024
Department of Surgery, Linköping University Hospital, and Department of Biomedical and Clinical Sciences, Faculty of Health Sciences, Linköping University, Linköping Sweden.
Objectives: Colectomy and subsequent bowel reconstruction in women with ulcerative colitis (UC) is associated with decreased fertility, this survey aims to investigate possible reasons for this.
Material And Methods: Women with UC aged 18-44 years at colectomy 2000-2020 were identified and data were retrieved from the Swedish inflammatory bowel disease register (SWIBREG). Additional information was obtained using a study-specific questionnaire.
J Clin Med
October 2024
Colorectal Surgery Unit, Unidade Local de Saúde de Santo António, Centro Hospitalar Universitário de Santo António, 4050-342 Porto, Portugal.
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