COMPLICATIONS AND RISK-FACTORS AFTER ILEA L POUCH-ANAL ANASTOMOSIS FOR ULCERATIVE-COLITIS ASSOCIATED WITH PRIMARY SCLEROSING CHOLANGITIS

The study determined predictive factors for postoperative complication s and outcome after ileal pouch-anal anastomosis in patients with ulce rative colitis and primary sclerosing cholangitis. Patients with ulcer ative colitis and primary sclerosing cholangitis treated by colectomy and ileostomy are at high risk of troublesome bleeding from peristomal varices. Postoperative complications and outcome were assessed in 40 patients with ulcerative colitis and sclerosing cholangitis who receiv ed in ileal pouch-anal anastomosis between January 1981 and February 1 990. Immediate postoperative and remote ileoanal anastomosis-related c omplications were high but related directly to the severity of liver d isease. No patient had perianastomotic anal bleeding. In patients with both ulcerative colitis and primary sclerosing cholangitis, ileal pou ch-anal anastomosis is safe and is not associated with perianastomotic bleeding.