Failure of right-sided coloanal anastomosis for treatment of left-sided ulcerative colitis. Report of a case.
case_report · Level V
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Abstract
A patient with ulcerative colitis limited to the rectum and distal colon underwent a left hemicolectomy, a mucosal proctectomy, and a coloanal sleeve anastomosis using the normal proximal colon. She experienced macroscopic recurrence of her disease within 2 months of the operation and eventually required excision of the remaining colon and an end ileostomy. Our experience and that of others would indicate that a right-sided coloanal operation is unsuitable for the treatment of left-sided ulcerative colitis.
Medical subject headings
- Anal Canal
- Colitis, Ulcerative
- Colon