| dc.creator | Bellolio R,Felipe | |
| dc.creator | Zúñiga A,José Miguel | |
| dc.creator | Wagner H,Pablo | |
| dc.creator | Pinedo M,George | |
| dc.creator | Duarte G,Ignacio | |
| dc.creator | Zúñiga D,Alvaro | |
| dc.date | 2008-09-01 | |
| dc.date.accessioned | 2017-03-07T16:02:57Z | |
| dc.date.available | 2017-03-07T16:02:57Z | |
| dc.identifier | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900005 | |
| dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/395184 | |
| dc.description | Background: Total colectomy with ileorectal anastomosis (IRA) is an alternative to the ileoanal pouch for the surgical treatment of ulcerative colitis in a selected group of patients. This technique leaves rectal mucosa Hable to develop persistent proctitis, dysplasia and cancer Aim: To describe short and long-term results of IRA and to assess the presence of dysplasia. Material and methods: Descriptive study of patients treated with IRA. The data were obtained from the clinical records, and the present status was evaluated with an interview. A proctoscopy and biopsy was offered free of cost to the contacted patients. Results: Between 1978 and 2005, 26 patients were operated. One patient presented an anastomotic leakage that was treated with a loop ileostomy There was no operative mortality. Twenty-three patients were followed for a períod of 1 to 23 years. Three patients evolved as Crohn 's disease and two of them needed a proctectomy. Three patients died of non-related diseases. In the remaining 17, the average evacuation rate was 3.7/24 h and all were continent. None developed a rectal cancer Only two patients had their planned annual endoscopic surveillance. In 2 of the 11 patients who accepted endoscopy and biopsy, a low-grade dysplasia was found. Conclusions: IRA has low morbidity and acceptable functional results in this selected group of patients. No patient present high-grade dysplasia or cancer; however, the adherence to the endoscopic follow-up ispoor. | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.source | Revista médica de Chile v.136 n.9 2008 | |
| dc.subject | Colitis, ulcerative | |
| dc.subject | Endoscopy, digestive system | |
| dc.subject | Rectal neoplasms | |
| dc.title | Anastomosis ileorrectal en el tratamiento quirúrgico de la colitis ulcerosa: Resultados a largo plazo | |
| dc.type | Artículos de revistas | |
