Subtotal colectomy with ileorectal
anastomosis and posterior rectopexy was performed (Figure 2).
subtotal/total colectomy with ileorectal
anastomosis reported no significant difference in the rates of postoperative adverse events (11).
(1,2) Patients with medically refractory colonic inertia usually respond symptomatically to colectomy with ileorectal
The absence of an ileorectal
valve hinders the distinction between the mid-gut and rectum, and the latter is differentiated from the former by its flattened shape.
The remaining articles combined colocolic anastomoses with colorectal and ileorectal
anastomoses in the same analysis which might have led to the conclusion of no significant value of drainage since colocolic anastomoses, that do not require drainage on a routine basis, were included in the analysis.
Stent placement 30:30 followed by planned 1-stage open surgery versus emergency 1- stage total abdominal colectomy and ileorectal
anastomosis Ho et al.
Her pathology supported a diagnosis of ulcerative colitis and because her rectum was spared, she underwent an ileorectal
anastomosis the following year.
Besides, 74(58.3%) anastomosis were right ileocolic, 6 (4.7%) were left ileocolic, 3(2.4%) were ileosigmoid, 2 (1.6%) were right colocolic, 19 (15%) were left colocolic, 18 (14.2%) were colorectal, 2 (1.6%) were colosigmoid, 2 (1.6%) were ileoanal and 1 (0.8%) was ileorectal
. In 29 (22.8%) patients, there was placement of drain in the vicinity of the anastomosis, while in rest of 98(77.2%) patients, no drain was placed again on consultants' preference.
Recently, IFX proved to be effective in CD patients with failed ileorectal
anastomosis candidates to proctectomy, preserving the rectum in 10/12 patients (83.3%) .
Total colectomy and ileorectal
anastomosis was done with defunctioning proximal loop ileostomy.
Endogenous amino nitrogen collected from pigs with end-to-end ileorectal
anastomosis is affected by the method of estimation and altered by dietary fiber.
However in certain patients with obstruction depending on the viability of the proximal colon a subtotal colectomy with ileorectal
anastomosis may be required (12) and because small-bowel obstruction may also occur, especially in the presence of a large diverticular abscess, this may also warrant further treatment (2).