caa a22 4500 475801288 CHVBK 20180406123737.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s002689910023 doi (NATIONALLICENCE)springer-10.1007/s002689910023 Fate of the Rectum and Ileal Recurrence Rates after Total Colectomy for Crohn's Disease [Elektronische Daten] [Takayuki Yamamoto, Michael R.B. Keighley] The aim of this study was to examine the fate of the rectum and ileal recurrence rates after total colectomy for Crohn's disease. One hundred thirty patients who underwent total colectomy between 1970 and 1997 were reviewed; 65 patients underwent end ileostomy with an oversewn rectal stump (TC+I) and 65 had ileorectal anastomosis (IRA). Patients treated by TC+I had significantly more rectal involvement (93%) than those having IRA (43%) (p < 0.0001). The incidence of ileal disease at the time of colectomy was similar (TC+I 34% versus IRA 32%; p = 0.99). Rectal recurrence requiring proctectomy was significantly more common after TC+I (51%) than after IRA (26%) (p= 0.01), whereas ileal recurrence requiring resection was significantly more common after IRA (45%) than after TC+I (18%) (p= 0.002). Using Kaplan-Meier methods, the 10-year cumulative probability of proctectomy was significantly higher after TC+I than IRA (58% versus 22%; p= 0.0001), whereas the 10-year cumulative probability of ileal resection was significantly higher after IRA than TC+I (37% versus 18%; p= 0.03). In conclusion, the proctectomy rate is higher after colectomy and ileostomy probably due to a higher incidence of preoperative rectal involvement. By contrast, the ileal recurrence rate is higher after colectomy and IRA. by the Société Internationale de Chirurgie, 2000 Yamamoto Takayuki University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK, GB aut Keighley Michael R.B. University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK, GB aut World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 125-129 0364-2313 24:1<125 2000 24 268 https://doi.org/10.1007/s002689910023 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910023 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yamamoto Takayuki University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK, GB aut NATIONALLICENCE 700 1- Keighley Michael R.B. University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK, GB aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/1(2000-01-01), 125-129 0364-2313 24:1<125 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer