Colectomy For Colitis Research Articles

Prospective surveillance by rectal biopsy following ileorectal anastomosis for inflammatory disease.

A prospective study was designed to evaluate multiple rectal biopsy examinations for dysplasia in 34 patients who had ileorectal anastomosis performed, following colectomy for inflammatory bowel disease. Although all but eight patients had persistent inflammatory activity on histologic examination, only one patient who demonstrated villous transformation of the mucosa clinically, showed carcinoma in situ in the excised rectal specimen. A protocol for surveillance of preserved rectums in inflammatory bowel disease is offered.

Late Appearance of Intra-abdominal Abscesses After Total Colectomy for Inflammatory Bowel Disease

Intra-abdominal abscesses after colon surgery usually appear within eight weeks. Over the past few years, we have observed nine patients who underwent colectomy for inflammatory bowel disease in whom large and relatively asymptomatic abscesses developed, requiring surgical drainage as long as three to five years after the operation. In five patients, there was no report of intraoperative complications such as perforation or fecal spillage. At the time of discharge from the hospital, all patients were afebrile. In three of these patients, abscesses were discovered when they were readmitted to the hospital for elective abdominal procedures; most of the others had localized abdominal pain.

Emergency colectomy for inflammatory bowel disease: G. E. Block, A. R. Moosa, D. Simonowitz, and S. K. Hassan. Surgery 82:531–536 (October), 1977

Emergency colectomy for inflammatory bowel disease: G. E. Block, A. R. Moosa, D. Simonowitz, and S. K. Hassan. Surgery 82:531–536 (October), 1977

Convulsions Complicating Colectomy in Inflammatory Bowel Disease

To the Editor.— We read the article by Schulak et al (Convulsions Complicating Colectomy in Inflammatory Bowel Disease, 237:1456) with interest, as we had the opportunity recently to see a patient who had generalized seizures in the same setting. This article points out many of the potential causes for seizures in these patients and was of value to us in approaching our patient. We find it ironic that colectomy, once a procedure prescribed for and accepted as a treatment for epilepsy in major medical centers,1should now begin to receive attention as a cause.

Convulsions complicating colectomy in inflammatory bowel disease

Convulsions complicating colectomy in inflammatory bowel disease

Convulsions Complicating Colectomy in Inflammatory Bowel Disease

Convulsions have complicated the surgical management of life-threatening inflammatory bowel disease in five patients. These patients experienced a transient, generalized convulsive disorder and toxic ambylopia. Results of neurological examination were unremarkable. Treatment included metabolic stabilization along with the administration of oxygen and anticonvulsive medication. Various factors, such as hypoxia, fluid overload, cerebral edema, steroid administration, and deficits in calcium, magnesium, and potassium, may have contributed to the cause of this complication.

Convulsions complicating colectomy in inflammatory bowel disease

Convulsions complicating colectomy in inflammatory bowel disease