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A case of pneumatosis coli managed by restorative proctectomy and ileal pouch-anal anastomosis

✍ Scribed by A. Woodward; L. Lai; B. Burgess; J. Beynon; N. D. Carr


Publisher
Springer
Year
1995
Tongue
English
Weight
143 KB
Volume
10
Category
Article
ISSN
0179-1958

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✦ Synopsis


Pneumatosis coli is a rare condition in which gas filled cysts occur in the wall of the intestines. Most symptomatic patients can be managed conservatively but those who fail medical management or who develop bowel obstruction will require surgery. Surgery usually involves a limited colectomy with a potential for recurrence. We describe a case of pneumatosis coli managed successfully by restorative proctocolectomy and ileal pouch-anal anastomosis.


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Restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis is the surgical procedure of choice for patients with ulcerative colitis (UC). It is also performed in selected patients with familial adenomatous polyposis (FAP). A significant proportion of patients will develop pouch dysfunction.