Anal canal mucosa in restorative proctocolectomy for ulcerative colitis-Reference-Cited by-同舟云学术

Anal canal mucosa in restorative proctocolectomy for ulcerative colitis

Published:1989-09 Issue:9 Volume:76 Page:970-972
ISSN:0007-1323
Container-title:British Journal of Surgery
language:en
Short-container-title:

Author:

King D W¹,Lubowski D Z¹,Cook T A²

Affiliation:

1. Colorectal Unit, St. George Hospital, Belgrave Street, Kogarah, Sydney, New South Wales 2217, Australia

2. Pathology Department, St. George Hospital, Belgrave Street, Kogarah, Sydney, New South Wales 2217, Australia

Abstract

Abstract In an attempt to improve continence after restorative proctocolectomy, ileal reservoir-anal anastomosis at the level of the anorectal junction has been advocated. This procedure preserves the entire mucosa of the anal canal. The histological appearances of the anal mucosa have been examined in 16 consecutive patients undergoing restorative proctocolectomy for ulcerative colitis. In 14 patients there was chronic inflammation characteristic of ulcerative colitis. Four patients had moderate dysplasia and in one of these patients an unsuspected adenocarcinoma of the anal canal extending down to the level of the dentate line was present. We believe that the anal mucosa should always be removed down to the level of the dentate line in restorative proctocolectomy for ulcerative colitis.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/bjs/article-pdf/76/9/970/37057671/bjs1800760933.pdf

Reference25 articles.

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