Abstract
The ileoanal pouch has been the accepted restorative procedure for ulcerative colitis but this can be associated with complications and issues related to function. Preserving the rectum has inherent benefits but this has to be weighed against the risk of proctitis and its associated issues. This chapter aims to examine the emerging role of ileorectal anastomosis in ulcerative colitis as an alternative to the ileoanal pouch and describes functional outcomes and prognosis.
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