Forni E, Volpato G, Borri A M, Clerico D, Nolli F
Chir Ital. 1982 Feb;34(1):28-37.
The Authors report a personal series of 42 cases of Ulcerative colitis seen over a 12 year period. (1969-1980). These patients underwent total colectomy with preservation of the rectum. Intestinal canalization was restored by means of an ileo-rectal anastomosis performed either with colectomy or at a later stage. Results are satisfactory as an improvement of general conditions occurred. Normalization of the intestinal function was observed in 85% of cases. Rectal lesions, periodically kept under control with endoscopy and hystologic examination, improved noticeably. In a few cases a total recovery was attained with an adequate, postsurgical, topic therapy. No cancer onset in the rectal stump had been recorded thus far among these patients. In the light of the Author's experience, total colectomy with rectal preservation represents a sensible solution for the surgical treatment of Ulcerative colitis.
作者报告了12年间（1969 - 1980年）所诊治的42例溃疡性结肠炎患者。这些患者均接受了保留直肠的全结肠切除术。在全结肠切除术中或之后通过回肠直肠吻合术恢复肠道连续性。由于患者的一般状况得到改善，结果令人满意。85%的病例肠道功能恢复正常。通过内镜检查和组织学检查定期监测的直肠病变明显改善。少数病例通过充分的术后局部治疗实现了完全康复。到目前为止，这些患者中未记录到直肠残端发生癌症。根据作者的经验，保留直肠的全结肠切除术是溃疡性结肠炎外科治疗的合理选择。
