潰瘍性大腸炎に対する大腸亜全摘・J型回腸嚢肛門管吻合術施行例の検討

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Ulcerative colitis (UC) is defined as an idiopathic, nonspecific inflammatory disorder of the large intestine involving primarily the mucous membrane, often with ulceration. We retrospectively studied 12 surgically treated patients with UC followed in our surgical department in the period between 1996 and 2001. All patients underwent total colectomy and subtotal proctectomy, and ileo-anal canal anastomosis (IACA). Compared with total proctocolectomy and ileo-anal anastomosis (IAA), IACA was technically simpler and yielded better continence.But some IACA patients needed postoperative local administration of corticosteroid for the control of inflammation in the remnant mucosa ; however, this inflammation was well controlled. Further, carcinomas in the remnant rectum can be easily detected at an early stage by annual colonoscopic examination.
信州医学会の論文