REVIEW - THE SURGICAL-MANAGEMENT OF ULCERATIVE-COLITIS

The treatment of ulcerative colitis requires careful review of the med ical and surgical options. The surgical procedure of choice is proctoc olectomy with ileal pouch-anal anastomosis. This procedure removes the diseased mucosa, effectively curing the disease whilst maintaining th e normal route of defecation and continence. Other surgical options th at may be considered in selected patients include proctocolectomy with either a Brooke ileostamy or a Kock pouch, and abdominal colectomy wi th ileorectal anastomosis. The choice of operation requires considerat ion of the advantages and disadvantages of a particular procedure and must be tailored to an individual patient's needs and circumstances.