c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Total Colectomy and J-Pouch: 1

A D V E R T I S E M E N T

   
 

A 51-year-old male had a two year course of ulcerative colitis unresponsive to medical therapy. Despite steroids, metronidazole and 6-mercaptopurine, the patient suffered exacerbations with 14-16 bloody bowel movements per day and progression from left sided to pancolitis. The patient was positioned for total colectomy and J-pouch.      

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Total Colectomy and J-Pouch: 2

A D V E R T I S E M E N T

   
 

A midline incision from mid epigastrium to pubis was made.       

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Total Colectomy and J-Pouch: 3

A D V E R T I S E M E N T

   
 

The cecum was mobilized along the peritoneal reflection (white line of Toldt; see sigmoid resection).       

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This page was last modified on 4/30/2000.