Editorial
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World J Gastroenterol. Apr 21, 2012; 18(15): 1703-1707
Published online Apr 21, 2012. doi: 10.3748/wjg.v18.i15.1703
Role of ileostomy in restorative proctocolectomy
Gianluca Pellino, Guido Sciaudone, Silvestro Canonico, Francesco Selvaggi
Gianluca Pellino, Guido Sciaudone, Silvestro Canonico, Francesco Selvaggi, Division of General Surgery, Second University of Naples, 42-80122 Naples, Italy
Author contributions: Pellino G and Sciaudone G wrote the article; Canonico S and Selvaggi F critically revised and reviewed it.
Correspondence to: Francesco Selvaggi, MD, EBSQ, Professor of General Surgery, Second University of Naples, Via F. Giordani, 42-80122 Naples, Italy. fselvaggi@hotmail.com
Telephone: +39-3358419132 Fax: +39-81-5667919
Received: October 9, 2011
Revised: December 10, 2011
Accepted: December 17, 2011
Published online: April 21, 2012
Abstract

Restorative proctocolectomy (RP) is the treatment of choice in patients affected with refractory ulcerative colitis or familial adenomatous polyposis. Surgery in elective settings is often performed in 2 stages, fashioning an ileostomy which is closed 2-3-mo later. It is still debated whether omitting ileostomy could offer advantages in the management of patients undergoing RP.

Keywords: Restorative proctocolectomy; Ileostomy; Ulcerative colitis; Familial adenomatous polyposis; Ileopouch-anal anastomosis