The operation of choice in ulcerative colitis
The operation of choice in ulcerative colitis is proctocolectomy (with preservation of the anal sphincter complex) with ileoanal J pouch anastomosis (IPAA).Total proctocolectomy has the advantage of removing all diseased mucosa, thereby preventing fuher inflammation and the potential for progression to dysplasia or carcinoma. ie; Total colon and rectum are removed, ileal pouch is constructed (to function like rectum) and anastomosed to the anal canalRef: Sabiston 20e pg: 1372, Harrison 19e pg: 1962
Proctocolectomy with ileoanal anastomosis
Subtotal colectomy and ileostomy
Proctocolectomy and permanent end ileostomy
Subtotal colectomy and ileorectal anastomosis
G.I.T