Chapter 11 - Ulcerative colitis: postsurgical

Abstract

Various modalities are performed in the surgical treatment of ulcerative colitis (UC). Restorative proctocolectomy with ileal pouch–anal anastomosis has been the surgical treatment of choice for patients with UC or familial adenomatous polyposis who require colectomy. In a selected patient population, who are not qualified for pelvic pouch or have failed pelvic pouch, continent ileostomies may be constructed. Surgery for UC involves significant alterations in bowel anatomy. Therefore an accurate endoscopic identification of landmarks and severity and distribution of the anatomically altered bowel is critical for the diagnosis, differential diagnosis, and treatment of ileal pouch disorders and disorders of other residual segments of the bowel in UC patients