JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

A case of proctectomy by transanal endoscopic approach to residual proctitis after total colectomy for ulcerative colitis Shigeru KATO 1 , Yusuke KIMURA 1 , Yuki AISU 1 , Daiki YASUKAWA 1 , Tatsuo ITO 1 , Yoshio KADOKAWA 1 1Department of Gastrointestinal Surgery, Tenri Hospital Keyword: 残存直腸切除 , 経肛門内視鏡 , 潰瘍性大腸炎 pp.37-43
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200663
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 We report a case of proctectomy by transanal endoscopic approach without transabdominal assistance to residual proctitis after total colectomy for ulcerative colitis. The patient was a 52-year-old female, who had undergone total colectomy with end-ileostomy at the age of 37. As the residual rectal inflammation persisted and did not improve with drug therapy, we performed completion of proctectomy. Because the pelvis was occupied by the uterus, the residual rectum was safely dissected and extracted only by transanal endoscopic approach without injuring the intraperitoneal organs. This procedure contributed to early recovery after surgery and is considered to be one of the useful options for residual proctitis.


Copyright © 2019, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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