279. Die chirurgische Therapie der familiären Adenomatosis coli Proktocolektomie ohne permanentes Ileostoma

Abstract

Due to the high risk of malignancy in familial adenomatosis coli in mostly young patients, a total proctocolectomy is necessary. After a few remarks about diagnostic procedures, the film shows the operative technique of total colectomy, mucosal proctectomy, formation of an ileal S-pouch, followed by ileoanal anastomosis. A temporary protective ileostomy was carried out in all cases. As of 1981, 12 patients have undergone this operation (ll adenomatosis coli, 1 ulcerative colitis) with no postoperative mortality. The possibility of early postoperative complications is discussed.