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  • Title: Surgical options in ulcerative colitis.
    Author: Buls JG, Goldberg SM.
    Journal: Postgrad Med; 1983 Dec; 74(6):175-8, 181-3, 187-9. PubMed ID: 6647161.
    Abstract:
    Five operative options are now available for treatment of ulcerative colitis: (1) proctocolectomy with ileostomy, (2) abdominal colectomy with ileostomy and retention of the rectum, (3) abdominal colectomy with ileorectal anastomosis, (4) proctocolectomy with creation of a continent stoma or conversion of a standard ileostomy after proctocolectomy to a continent stoma, and (5) restorative proctocolectomy. Each procedure has advantages and disadvantages. With careful assessment, the specific needs of each patient can best be met. In many cases a permanent stoma can be avoided. The newer procedures have not been used long enough for long-term effects to be known, and they must be offered with reservation and then only to well-informed, stable, and relatively fit and cooperative patients.
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