ILEOANAL ANASTOMOSIS IN THE ADULT

  • 1 January 1982
    • journal article
    • research article
    • Vol. 154  (6) , 826-828
Abstract
Of 50 adults with chronic ulcerative colitis, familial polyposis or Crohn''s disease undergoing colectomy, excision of the rectal mucosa, endorectal ileoanal anastomosis and protective proximal ileostomy, 42 subsequently had restoration of fecal continuity. Observation for 6-36 mo. revealed that anastomotic strictures or fecal urgency and frequency developed in 13 of the 42 patients. Most of these patients had undergone operation early in the series. All 13 patients required abandonment of the neorectum. Of 39 evaluable patients, 30 were continent, averaged 8 bowel movements/day and could distinguish between gas and stool. Thirty patients preferred life with an ileoanal anastomosis to that with an ileostomy. Ileoanal anastomosis apparently is a viable alternative for some adults requiring proctocolectomy.