[Ileo-rectal anastomoses].

Ileorectal anastomosis is a classical method for re-establishing continuity after total colectomy. It is usually immediate and terminoterminal, but if local circumstances or emergency considerations demand it is carried out secondarily using mechanical sutures. The effects of colic suppression are rapidly compensated and the minimal functional sequelae are compatible with a normal life. Any change in intestinal rhythm or flow suggests organic alteration of the anastomosis or of the under- or overlying intestine. Ileorectal anastomosis is indicated whenever rectal resection is not obligatory. If this is not the case (polyadenomastosis-ulcerative coloproctitis) ileoanal anastomosis with reservoir currently allows definitive ileostomy to be avoided.