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. 2004 Feb;17(1):65-70.
doi: 10.1055/s-2004-823072.

Proctocolectomy and brooke ileostomy for chronic ulcerative colitis

Eric J Dozois  1
Affiliations

Proctocolectomy and brooke ileostomy for chronic ulcerative colitis

Eric J Dozois. Clin Colon Rectal Surg. 2004 Feb.

Abstract

Proctocolectomy and permanent ileostomy is an option for selected patients with ulcerative colitis. Current indications include the elderly, patients with poor anal continence, and those with malignant lesions of the low rectum. Advantages of this procedure are that it has fewer complications than an ileal pouch-anal anastomosis, it is a one-stage operation removing all the diseased mucosa, and it is a relatively straightforward operation. The operative technique is discussed.

Keywords: Brooke ileostomy; Ulcerative colitis; proctocolectomy.

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Figures

Figure 1
Figure 1
Creation of Brooke ileostomy. Printed with permission of Mayo Clinic, Rochester, Minnesota.
Figure 2
Figure 2
Laparoscopic four-port set-up. Printed with permission of Mayo Clinic, Rochester, Minnesota.
Figure 3
Figure 3
Colorectal exteriorization. (Courtesy of Tonia Young-Fadok, M.D.)
Figure 4
Figure 4
Completed laparoscopic proctocolectomy and Brooke ileostomy. (Courtesy of Tonia Young-Fadok, M.D.)
See this image and copyright information in PMC

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