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Purpose: To count the aetiology of proctorrhagia in Lomé.

Methods: It is a retrospective study, over 12 years (1st January 1995-31 December 2006), realised from the reports of the coloscopy . It included the patients of the two sexes, old of more than 15 years, having presented a proctorrhagia explored by ano-rectoscopy and coloscopy.

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[Ulcero-hemorrhagic rectocolitis: operative morbidity and mortality. Apropos of 100 cases].

J Chir (Paris)

November 1996

Service de Réanimation Chirurgicale, Hôpital Ibn Sina, Rabat, Maroc.

We performed a retrospective analysis of morbidity and mortality in 100 cases of ulcerative colitis treated at the surgical care unit of the Ibn Sina hospital over a 10 year period from 1984 to 1994. One major complication, usually infection, was observed in 40% of the cases. Overall mortality was 22%, a rate higher than the larger published series.

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[Surgical treatment of ulcero-hemorrhagic rectocolitis].

Ann Chir

February 1996

Mayo Medical School, Mayo Clinic, Rochester, Minnesota, USA.

When surgical treatment is indicated in the course of ulcerative colitis, several operations may be performed. In the vast majority of patients, total proctocolectomy and ileal pouch-anal anastomosis is the procedure of choice. Other operations (total proctocolectomy with Brooke ileostomy, total colectomy with ileorectal anastomosis or with Kock pouch) can also be used in certain circumstances.

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The authors report long term results of 53 ileo-anal anastomosis for ulcerative colitis. They used a "J" pouch technique with anastomosis to the anal canal after mucosectomy of the lower rectum. An upstream ileostomy should be created and left in place for two to three months.

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