In ulcerative colitis as well as in Crohn's disease the rectum is often affected in variable degrees. Seventy-one patients with idiopathic aggressive colitis were treated by colectomy and ileorectal anastomosis in the years 1969-1985. In sixty-two of these patients the rectum was also affected and received before colectomy a topical steroid therapy by daily enemas. This treatment caused the regression of proctitis and allowed a safe ileorectal anastomosis. During the postoperative follow-up a protective treatment of the rectum was undertaken with minimal dosages of the same steroid by daily enemas. In some patients the steroid administration was partially replaced by sulfasalazine or by 5-ASA by os or per rectum in daily low dosage. This method of rectal care after colectomy with ileorectal anastomosis has proved able to prevent the relapse of proctitis and to keep the rectal wall in fair conditions.

Incidenza delle complicanze precoci e tardive dopo gastrectomia totale per cancro. Confronto tra suture manuali e meccaniche / P. Soliani, M. Rusca, P. Dell' Abate, P. Carbognani, L. Spaggiari, L. Cattelani, M. Covizzi, G. Mazzi, E. Foggi, P. Bobbio. - In: CHIRURGIA. - ISSN 0394-9508. - 3:1-2(1990), pp. 1-8.

Incidenza delle complicanze precoci e tardive dopo gastrectomia totale per cancro. Confronto tra suture manuali e meccaniche

L. Spaggiari;
1990

Abstract

In ulcerative colitis as well as in Crohn's disease the rectum is often affected in variable degrees. Seventy-one patients with idiopathic aggressive colitis were treated by colectomy and ileorectal anastomosis in the years 1969-1985. In sixty-two of these patients the rectum was also affected and received before colectomy a topical steroid therapy by daily enemas. This treatment caused the regression of proctitis and allowed a safe ileorectal anastomosis. During the postoperative follow-up a protective treatment of the rectum was undertaken with minimal dosages of the same steroid by daily enemas. In some patients the steroid administration was partially replaced by sulfasalazine or by 5-ASA by os or per rectum in daily low dosage. This method of rectal care after colectomy with ileorectal anastomosis has proved able to prevent the relapse of proctitis and to keep the rectal wall in fair conditions.
Settore MED/18 - Chirurgia Generale
1990
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/189967
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