Ulcerative colitus and XXXX - a comparison of the long term postoperative courses.

@entity1 @entity31 @entity18274 @entity1960 @entity5277 @entity30
@entity1 with @entity1960 and @entity30 of unknown etiology from two previously reported series have been combined and the follow-up studies have been extended to compare the long term postoperative courses of @entity31 ( @entity31 ) and @entity30 ( @entity18274 ). The combined and updated series of 176 @entity1 , 99% of whom could be traced, provided a mean postoperative follow-up period for @entity31 of 14 years (5 to 31) and @entity18274 of 13.1 years (5 to 36). There were highly significant associations between generally accepted clinical and distributional features of @entity31 and @entity18274 and microscopic findings generally regarded as reliable for each. However, because of spectrum of features was found in each entity, neither clinical and distributional nor microscopic features alone are sufficient for diagnosis in every case. There were no differences in gross or disease-related mortality in @entity31 and @entity18274 whatever the method of diagnosis. After anastomotic procedures in @entity18274 a recurrence rate of 73% was found. After proctocolectomy the ileostomy revision rate (considering all types of those which required further excision of ileum) was higher in @entity18274 than @entity31 whether the diagnoses were based on microscopic, clinical, or @entity18274 , but the differences reached statistical significance only in the comparison of "clinical @entity31 ", with "clinical @entity18274 ". Moreover, after the first 2 postoperative years, the risk of having an ileostomy revision in @entity31 and @entity18274 ( @entity18274 ) per @entity1 year follow-up was virtually identical and there were no cases of @entity5277 . Differences in the clinical courses of @entity31 and @entity18274 after colectomy and ileostomy are of degree and do not reflect the ultimate course or potential for rehabilitation. Decisions regarding surgical therapy should be made independent of the diagnosis of @entity31 or @entity18274 .
