Vergara FO, Takahashi MT, González CQH

Language: Spanish
References: 29
Page: 42-49
PDF size: 77.56 Kb.

ABSTRACT

The objective of this review is to analyze current aspects related with the physiopathology, diagnosis, and management of chronic nonspecific ulcerative colitis, making emphasis on laparoscopic surgery. Data were obtained through a MEDLINE search until the year 2005. Studies included were: review articles, case series, controlled clinical assays, and meta-analysis.
Nonspecific chronic ulcerative colitis is manifested in genetically susceptible individuals subjected to triggering environmental factors. Diagnosis is performed based on clinical suspicion supported by histopathological findings. Medical treatment is the cornerstone and its failure is the most frequent cause to indicate surgery. For elective surgery, the preferred procedure has become proctocolectomy with ileoanal anastomosis. The most frequent complications are intestinal obstruction, stenosis of the anastomosis, leaks, pelvic abscesses, and inflammation of the reservoir. Most patients report functional results going from excellent to good. Laparoscopic approach in these surgeries must be performed by surgeons trained in experienced reference centers.

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