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vol.32 issue3Proctocolectomy and ileal J-pouch anal anastomosis on the surgical treatment of familial adenomatous polyposis and ulcerative colitis: analysis of 49 casesSurgical complications in 2,840 cases of hemorrhoidectomy by Milligan-Morgan, Ferguson and combined techniques author indexsubject indexarticles search
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Journal of Coloproctology (Rio de Janeiro)

Print version ISSN 2237-9363

Abstract

ALENCAR, Suelene Suassuna Silvestre de et al. The surgical treatment of patients with ulcerative colitis from an university hospital at Natal, Brazil. J. Coloproctol. (Rio J.) [online]. 2012, vol.32, n.3, pp.265-270. ISSN 2237-9363.  https://doi.org/10.1590/S2237-93632012000300010.

INTRODUCTION: Ulcerative colitis (UC) is a chronic inflammatory disease that affects the rectum and colon, involving periods of exacerbation and remission. A considerable number of patients requires surgery during the course of this disease. OBJECTIVE: The purpose of this study is to analyze the profile and therapeutic approach of patients with UC. METHODS: This is a retrospective study that analyzed medical records of patients diagnosed with UC between 1999 and 2010. We selected 45 patients and analyzed the following variables: age, gender, ethnic group, interval between onset of symptoms and diagnosis, extraintestinal manifestations, extent of colonic involvement, disease complications, pharmacological treatment, indication for surgery, time between diagnosis and indication, surgical procedures, early and late complications and pathological results of surgical specimens. Data were analyzed descriptively and compared with other studies. RESULTS: The clinical profile of the patients was consistent with the literature. Nine patients underwent surgical treatment: seven were submitted to proctocolectomy with anastomosis in the ileo-anal pouch and two were submitted to total colectomy; in addition, eight were submitted to ileostomy. Postoperative complications occurred in 55.5% of patients. CONCLUSIONS: The study confirms data from the literature regarding the profile and therapeutic approach of patients with ulcerative colitis.

Keywords : proctocolitis; colorectal surgery; postoperative complications; signs and symptoms; digestive; colonic pouches.

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