Proctocolectomy with ileo-anal anastomosis performed with mechanical suture without mucosectomy and without protective ileostomy
Adloff, M.; Ollier, J.C.; Schloegel, M.; Fernoux, P.
Annales de Chirurgie 47(10): 967-970
1993
ISSN/ISBN: 0003-3944 PMID: 8161143 Document Number: 418408
Abdominal proctocolectomy with formation of an ileal reservoir anastomosed onto the anal canal using a stapler device is described. This technique avoids also stripping the mucosa from the anal canal which is time consuming and often difficult and incomplete. The avoidance of a temporary ileostomy did not lead to an increase in post operative complications. Seventeen patients have undergone this procedure for ulcerative colitis and the advantages and disadvantages of it are discussed.