Abstract
Ulcerative colitis is a usually chronic inflammatory disease of the colon of largely unknown etiology [48, 60]. It was first described by Samual Wilkes of London in 1859 [19]. Ulcerative colitis, unlike Crohn’s disease, is generally limited to the mucosa and submucosa of the colon [96] except in cases where the disease takes an acute, fulminating, toxic course. Inflammation of the terminal ileum (“backwash ileitis”) is seen only when the disease process involves the entire colon. Ulcerative colitis begins distally and may spread proximally and continuously throughout the large bowel. The rectum is involved in 98% of cases [88]. The disease may have its onset at any age but most commonly appears in the 2nd–4th decades [21]. Childhood onset of ulcerative colitis, seen in 25% of cases [20], implies a very poor prognosis [96].
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References
Akovbiantz A (1981) Kontinenzerhaltende Operationen bei der Colitis ulcerosa. Helv Chir Acta 48: 789–796
Albrechtsen D, Bergau A, Nygaard K, Gjone E, Flat-mack A (1981) Urgent surgery for ulcerative colitis: early colectomy in 132 patients. World J Surg 5: 607–615
Allsop JR, Lee E (1978) Factors which influenced postoperative complications in patients with ulcerative colitis or Crohn’s disease of the colon on corticosteroids. Gut 19: 729–734
Athanasiadis S, Kuhlgatz CH, Girona J (1984) Zur Wertigkeit der ileorektalen Anastomose bei der Behandlung der Colitis ulcerosa. Zbl Chirurgie 109: 1179–1206
Baker W, Aylett SO, Glass RE, Ritchie JK (1978) Cancer of the rectum following colectomy and ileo-rectal anastomosis for ulcerative colitis. Br J Surg 65: 862–868
Bansky G, Bühler H, Stamm B, Häcki WH, Buchmann P, Müller J (1987) Treatment of distal ulcerative colitis with betamethasone enemas: high therapeutic efficacy without endocrine side effects. Dis Colon Rectum 30: 288–292
Bauer J, Gelernt IM, Salky B, Kreel I (1983) Sexual dysfunction following proctocolectomy for benign disease of the colon and rectum. Ann Surg 197: 363–367
Becker JM, Hillard HE, Mann FA, Kestenberg A, Nelson JA (1985) Functional assessment after colectomy, mucosal proctectomy and endorectal ileoanal pull-through. World J Surg 9: 598–605
Becker V (1982) Pathologische Anatomie entzündlicher Darmerkrankungen. Colo-proctology 4: 347–350
Berry AR, de Campos R, Lee ECG (1986) Perineal and pelvic morbidity following perimuscular excision of the rectum for inflammatory bowel disease. Br J Surg 73: 675–677
Buchmann P (1983) Colitis ulcerosa und Colonpolypose: Die Erhaltung des Rectums. Helv Chir Acta 509: 587–591
Burnham W, Lennard-Jones J, Stanford JL, Bird RG (1978) Mycobacteria as a possible cause of inflammatory bowel disease. Lancet 2: 693–696
Campbell DES (1986) Therapie der Colitis ulcerosa auf der Basis von 5-Amino-Salicylsäure. Schwerpunkt Med 9: 12–20
Carlstedt A, Fasth S, Hultén L, Nordgreen S, Palsel-ius I (1987) Long-term ileostomy complications in patients with ulcerative colitis and Crohn’s disease. Int J Colorect Dis: 22–25
Caprilli R, Vernia P, Colaneri O, Frieri G (1980) Risk factors in toxic megacolon. Dig Dis Sci 25: 817–822
Cello JP (1983) Ulcerative colitis. In: Sleisenger M, Fordtran J (eds) Gastrointestinal disease, 3rd edn. Saunders, Philadelphia
Chapman RW, Selby WS, Jewell DP (1986) Controlled trial of intravenous metronidazole as an adjunct to corticosteroids in severe ulcerative colitis. Gut 27: 1210–1212
Clark M (1986) Role of nitrition in inflammatory bowel disease: an overview. Gut 27: 72–75
Coran AG (1985) New surgical approaches to ulcerative colitis in children and adults. World J Surg 9: 203–213
Dick W (1986) Chronisch-entzündliche Darmerkrankungen. Der informierte Arzt 20: 8–12
Dölle W, Herfarth C (1979) Diagnose und Therapie chronisch-entzündlicher Darmerkrankungen. Med Welt 30/29: 1120–1124
Dozois RR, de Calan L (1985) Rectocolite ulcéro-hémorragique: alternatives chirurgicales à l’iléosto-mie conventionnelle de Brooke. Gastroenterol Clin Biol 9: 687–689
Feinberg S, McLeod RS, Cohen Z (1987) Complications of loop ileostomy. Am J Surg 153: 102–107
Fonkalsrud EW (1981) Endorectal ileal pullthrough with lateral ileal reservoir for benign colorectal disease. Ann Surg 194: 761–766
Friedmann LS, Richter JM, Kirkham SE, DeMonaco HJ, May RJ (1986) 5-Aminosalicylic acid enemas in refractory distal ulcerative colitis: a randomized con-trolled trial. Am J Gastroenterol 81: 412–418
Gaisberg U, Töpfer HU (1984) Medikamentöse Therapie der Colitis ulcerosa und des M. Crohn. In: Gaisberger U (ed) Colitis ulcerosa — M. Crohn: II. Fortbildungsveranstaltung, Bad Cannstatt 1984. Fak Foundation eV, Habsburgerstr. 81, D-7800 Freiburg i. Br.
Gilat T (1983) Incidence of inflammatory bowel disease: going up or down? Gastroenterology 85: 194–203
Gloor F (1981) Die nicht klassifizierbaren ulzerösen Kolitiden. Schweiz Med Wochenschr 111: 779–783
Goligher JC (1981) Current efforts to retain continence in the surgery of ulcerative colitis. Schweiz Med Wochenschr 111: 784–789
Goligher JC (1981) Eversion technique for distal mucosal proctectomy in ulcerative colitis: a preliminary report. Br J Surg 71: 26–28
Greenstein AJ, Barth JA, Sachar DB, Aufses AH (1986) Free colonic perforation without dilatation in ulcerative colitis. Am J Surg 152: 272–275
Grundfest SF, Fazio V, Weiss RA, Jagelmann D, Lavery I, Weakley FL, Turnbull RB (1981) The risk of cancer following colectomy and ileorectal anasto-mosis for extensive mucosal ulcerative colitis. Ann Surg 193: 9–14
Gyde SN, Prior P, Thompson H, Waterhouse JAH, Allan RN (1984) Survival of patients with colorectal cancer complicating ulcerative colitis. Gut 25: 228–231
Haferkamp O (1981) M. Crohn und Colitis ulcerosa — Standortbestimmung: pathologisch-anatomische Aspekte. Chirurg 52: 737–743
Halter F (1981) Differentialdiagnose der Colitis ulcerosa. Schweiz Med Wochenschr 111: 773–778
Hartmann F (1986) 5-Aminosalicylsäure: Neue The-rapiemöglichkeit bei chronisch entzündlicher Darmerkrankung? Leber Magen Darm 16: 20–27
Hassler H, Grossmann S, Fischer L, Oesch A (1984) Colitis ulcerosa: Die notfallmäßige Operation beim toxischen Megacolon mit Perforation. Helv Chir Acta 51: 47–50
Hawley PR (1985) Ileorectal anastomosis. Br J Surg 72 [Suppl]: 75–82
Herfarth C (1983) Chronisch-entzündliche Darmerkrankungen — Indikation zur Operation. Z Gastroenterol 21: 27–34
Herfarth C, Otto HF (1987) Carcinom-praeventive Operationsindikationen bei entzündlichen Darmerkrankungen. Chirurg 58: 221–227
Herfarth C, Stern J (1986) Die kontinenzerhaltende Proktocolectomie. Chirurg 57: 263–270
Jalan K (1970) An experience of ulcerative colitis. II. Short term outcome, III. Long term outcome. Gastroenterology 59: 589–609
Kewenter J, Hultén L, Ahlman H (1978) Cancer risk in extensive colitis. Ann Surg 188: 824–828
Kim YS, Byrd JC (1984) Ulcerative colitis: a specific mucin defect? Gastroenterology 87: 1193–1195
Kock N (1977) Ileostomy. Curr Probl Surg 14:18–47
Kock N, Myrvold HE, Nilsson LO, Philipson BM (1985) Achtzehn Jahre Erfahrung mit der kontinenten Ileostomie. Chirurg 56: 299–304
Kommerell B (1981) Colitis ulcerosa und M. Crohn. Der informierte Arzt 15: 34–40
Kremer K, Rumpf P, Ehms H, Strohmeyer G (1981) Colitis ulcerosa. In: Allgöwer M, Siewert JR, Blum AL (eds) Chirurgische Gastroenterologie. Springer, Berlin Heidelberg New York
Lennard-Jones JE (1986) Compliance, cost and common sense limit cancer control in colitis. Gut 27: 1403–1407
Lennard-Jones JE (1985) Cancer risk in ulcerative colitis: surveillance or surgery. Br J Surg 72: 84–86
Lennard-Jones JE (1983) Toward optimal use of corticosteroids in ulcerative colitis and Crohn’s disease. Gut 24: 177–181
Lockart-Mummery HE (1968) Diffuse conditions of the large bowel which are premalignant. Br J Surg 55:737
Lupinetti M, Mehigan D, Cameron JL (1980) Hepatobiliary complications of ulcerative colitis. Ann J Surg 139:113–118
Maier K, Gaisberg U (1986) Klinische Erfahrungen mit der rectalen und oralen Applikation mit 5-Ami-nosalicylsäure. In: Ewe K (ed) Therapie chronischentzündlicher Darmerkrankungen. Schattauer, Stuttgart
Matuchansky C (1986) Parenteral nutrition in inflammatory bowel disease. Gut 27: 81–84
Mayberry JF (1985) Some aspects of the epidemiology of ulcerative colitis. Gut 26: 968–974
McCafferty MH, Fazio V (1985) Ileoanale Anastomose bei Colitis ulcerosa. Chirurg 56: 293–298
Mclntyre PB, Lennard-Jones JE, Powell-Tuck J, Wood SR, Zerebours E, Hecketsweiler P, Colin R, Galmiche J-P (1986) Controlled trial of bowel rest in the treatment of severe acute colitis. Gut 27: 481–485
Mee AS, Shield AS, Burke M (1985) Campylobacter colitis: differentiation from acute inflammatory bowel disease. J R Soc Med 78: 217–223
Meister R, Schmidt R (1986) Chirurgische Therapie der Colitis ulcerosa. Colo-proctology 1: 15–23
Merkle P (1983) Colitis ulcerosa. Münch Med Wochenschr 125: 255–258
Meyer J (1973) Ulcerative colitis. In: Sleisenger M, Fordtran J (eds) Gastrointestinal disease. Saunders, Philadelphia, pp 1296–1349
Miller B (1978) Chronisch-entzündliche Darmerkrankungen: Colitis ulcerosa und M. Crohn. In: Bock E et al. (eds) Klinik der Gegenwart, vol 10. Urban and Schwarzenberger, München, pp 442 a-E 460
Miller JP (1986) Inflammatory bowel disease in pregnancy: a review. J R Soc Med 79: 221–225
Mir-Nadjlessi SH, Farmer RG, Easley KA, Beck GJ (1986) Colorectal and extracolonic malignancy in ulcerative colitis. Cancer 58: 1569
Mock DM (1986) Growth retardation in chronic inflammatory bowel disease. Gastroenterology 91: 1019–1023
Morel P, Alexander-Williams J, Hawker PC, Allan RN, Dykes PW (1986) Management of acute colitis in inflammatory bowel disease. World J Surg 10: 814–819
Morowitz D, Kirsner JB (1981) Ileostomy in ulcerative colitis. Ann J Surg 141: 370–375
Morson BC (1968) Pathology of ulcerative colitis. Baillière Tindall and Cassell, London
Morson BC (1983) Kolorektale Biopsie bei entzündlichen Darmerkrankungen. Leber Magen Darm 13:261–269
Mottet NK (1971) Histopathologic spectrum of regional enteritis and ulcerative colitis. Saunders, Philadelphia, Major problems in pathology, vol 2
Muto T, Kamiya J, Sawada T, Kubota Y, Morioka Y, Chida T, Okamura N, Nakaya R (1985) Die Beziehung zwischen Bacteroides und Colitis ulcerosa. Colonproctology 2: 73–74
Nasmyth DG, Johnston D, Godwin PGR, Dixon MF, Williams NS, Smith A (1986) Factors influencing bowel function after ileal pouch-anal anastomosis. Br J Surg 73: 469–473
Neal DE, Johnston D, Williams NS (1982) Rectal, bladder and sexual function after mucosal proctectomy with and without a pelvic reservoir for colitis and polyposis. Br J Surg 69: 599–604
Nicholls RJ, Pezim ME (1985) Restorative proctocolectomy with ileal reservoir for ulcerative colitis and familial adenomatous polyposis: a comparison of three reservoir designs. Br J Surg 72: 470–474
Nicholls JR, Moskowitz RL, Shepherd NA (1985) Restorative proctocolectomy with ileal reservoir. Br J Surg 72: 76–79
Nicholls J, Pescatori M, Motson RW, Pezim ME (1984) Restorative proctocolectomy with a three-loop ileal reservoir for ulcerative colitis and familial adenomatous polyposis. Ann Surg 199: 383–388
Nostrant TT (1987) Histopathology differentiates acute self-limited colitis from ulcerative colitis. Gastroenterology 92: 318–328
Nugent FW, Haggitt RC, Colcher H, Kutteruf GC (1979) Malignant potential of chronic ulcerative colitis. Gastroenterology 76: 1
Otto HF (1981) Immunpathologische und ultrastrukturelle Aspekte der Colitis ulcerosa. Schweiz Med Wochenschr 111: 768–773
Parks AG (1982) Die Rekonstruktion des Anus naturalis mittels Reservoir. Chirurg 53: 611–615
Pemberton JH, Beart RW, Hepell J, Dozois R, Telan-der RL (1982) Endorectal ileoanal anastomosis. Surg Gynecol Obstet 155: 417–424
Riddell RH, Morson BC (1979) Value of sigmoidoscopy and biopsy in detection of carcinoma and premalignant change in ulcerative colitis. Gut 1: 575–580
Riemann JF (1982) Aetiologische Aspekte von M. Crohn und Colitis ulcerosa. In: Gall FP, Groitl H (eds) Entzündliche Erkrankungen des Dünn- und Dickdarmes. Perimed, Erlangen
Ritchie J, Lennard-Jones J (1978) Clinical outcome of the first ten years of ulcerative colitis and proctitis. Lancet 2: 1140–1143
Roth JLA (1969) Ulcerative colitis. In: Bockus HL (ed) Gastroenterology. Saunders, Philadelphia, pp 645–749
Rothenberger DA, Vemevlen FD, Christenson CE, Balcos EG, Nemer FD, Goldberg S, Belliveau P, Nivatrongs S, Schottler JL, Kennedy HL, Fang DI (1983) Restorative proctocolectomy with ileal reser-voir and ileoanal anastomosis. Am J Surg 145: 82–88
Säuberli H, Akovbiantz A, Hahnloser P (1982) Die chirurgische Behandlung der Colitis ulcerosa — Verbesserung der Lebensqualität durch kontinente Ileo-stomie? Extracta Gastroenterologica 11: 177–197
Säuberli H (1986) Colitis ulcerosa und M. Crohn -chirurgische Aspekte. Schweiz Rundschau Med (Praxis) 75: 283–289
Schofield PF, Manson JM (1986) Indications for and results of operation in inflammatory bowel disease. J R Soc Med 79: 593–595
Sigel A, Bötticher R, Supala K (1977) Urologische Komplikationen chronisch-entzündlicher Darmer-krankungen. Chirurg 48: 262–266
Stonnington CM, Phillips SF, Melton LJ, Zinsmeister AR (1987) Chronic ulcerative colitis: incidence and prevalence in a community. Gut 28: 402–409
Surawicz CM (1987) Diagnosing colitis: biopsy is best. Gastroenterology 92: 538–540
Taylor BM, Beart RW (1983) Straight ileoanal anastomosis versus ileal pouch-anal anastomosis after colectomy and mucosal proctectomy. Arch Surg 118: 696–701
Taylor BM, Beart RW, Dozois RR, Cranley B, Kelly KA, Phillips S F (1983) A clinico-physiological comparison of ileal pouch-anal and straight ileoanal anastomosis. Ann Surg 198: 462–468
Truelove SC (1984) Ulcerative colitis. Update postgraduate centre series. Update, London
Turnbull RB (1970) Choice of operation for the toxic megacolon phase of nonspecific ulcerative colitis. Surg Clin N Am 50: 1151–1169
Van Heerden J, Mcllrath DC, Adson MA (1978) The surgical aspects of chronic mucosal inflammatory bowel disease. Ann Surg 187: 536–541
Utsonomiya MD, Iwama T, Imajo M, Matsudo S, Sawai S, Yaegashi K, Hirayama R (1980) Total colectomy, mucosal proctectomy and ileoanal anastomosis. Dis Colon Rectum 23: 459–466
Watkinson G (1973) Colitis ulcerosa. In: Demling L et al. (eds) Klinische Gastroenterologie. Thieme, Stuttgart
Williams WS, Johnston D (1985) The current status of mucosal proctectomy and ileo-anal anastomosis in the surgical treatment of ulcerative colitis and adenomatous polyposis. Br J Surg 72: 159–168
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Wehrli, H., Akovbiantz, A. (1990). Ulcerative Colitis. In: Marti, MC., Givel, JC. (eds) Surgery of Anorectal Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-02640-3_14
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