Restorative proctocolectomy has allowed patients with conditions such as ulcerative colitis to avoid living with a permanent ileostomy and external appliance after colectomy. Considered the “gold standard” for patients undergoing colon removal, restorative proctocolectomy has revolutionized the surgical management of ulcerative colitis and has evolved to include minimally invasive techniques.
A 30 –year-old female presents with a 10-year history of ulcerative colitis. Over the course of the last year she has been adversely affected by flaring of her disease activity when maintenance treatment with prednisone drops below 20 mg/day. Her symptoms of increased…
The diagnosis of Crohn’s disease remains dependent on a combination of clinical, endoscopic, histologic and radiologic findings. In most cases the gastroenterologist or primary care physician makes this diagnosis; though occasionally, it’s made at the time of abdominal exploration for presumed appendicitis.
Since Crohn’s disease is not a surgically ‘curable’ disease and surgical recurrence rates approach 55% at 10 years, all surgical therapy must be concerned with preserving bowel length and bowel function, thus maximizing quality of life. Therefore, appropriate intervention is always tailored to the individual patient.
A 32-year-old female was initially diagnosed with Crohn’s disease at age 28 and underwent an urgent appendectomy for presumed appendicitis. Though she was treated medically for two years, she eventually required an ileocolic resection due to worsening symptoms of small bowel obstruction.
Research studies involving inflammatory bowel disease patients are ongoing and mirror the progress in the evolution of restorative proctocolectomy for ulcerative colitis.
Following our pioneering work in establishing minimally invasive restorative proctocolectomy as a feasible and presently the preferred option in selected patients, we have reported our clinical results in comparison to the standard open technique…