Colectomy with ileoproctostomy for ulcerative colitis

Twenty-five patients with ulcerative colitis were treated by abdominal colectomy with ileorectal anastomosis. Five additional case reports available since and initial publication in 1964 are presented. Proctocolectomy with permanent ileostomy remains the operation of choice for most patients requiring resectional surgery for ulcerative colitis. For selected patients abdominal colectomy with ileorectal anastomosis is a satisfactory alternative. Such patients should possess an otherwise healthy anorectum with only mild to moderate proctitis. Anal ulcer (chronic fissure-in-ano), fistula-in-ano, and symptomatic hemorrhoidal disease are considered contraindications to this operative procedure.