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Management by Total Colectomy With Preservation of Continence

Tomas Heimann, MD; A. Robert Beck, MD; Adrian J. Greenstein, MD

Arch Surg. 1978;113(9):1104-1106.

Abstract
• Two cases of familial polyposis coli were managed by total colectomy and endorectal pull-through with excellent long-term results. The performance of a temporary loop ileostomy is advisable to prevent anastomotic complications. In addition, it avoids the excessive diarrhea and perianal excoriation that frequently occur in the early postoperative period until full continence is regained. This is the only method that allows the preservation of rectal function and prevents the occurrence of rectal cancer. It should be considered as a real alternative to either subtotal colectomy and ileorectal anastomosis or total colectomy with construction of an ileostomy.

(Arch Surg 113:1104-1106, 1978)

Author Affiliations
From the Department of Surgery, The Mount Sinai Hospital and the Mount Sinai School of Medicine at The City University of New York.

Footnotes
Accepted for publication Feb 21, 1978.

Reprint requests to Department of Surgery, Mount Sinai School of Medicine, Fifth Ave and 100th St, New York, NY 10029 (Dr Heimann).

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Regeneration of Rectal Mucosa and Recurrent Polyposis Coli After Total Colectomy and Ileoanal Anastomosis
Wolfstein et al.
Arch Surg 1982;117:1241-1242.
ABSTRACT