2007 Volume 27 Issue 4 Pages 563-565
Purpose : We studied the clinical characteristics of patients with ulcerative colitis (UC) and active bleeding who underwent appropriate emergent operations. Methods : Of the 103 patients with UC who underwent surgery in our department between 1998 and 2005, 9 (8.6%) received emergent operations because of bleeding. The clinical findings, including complications and operative procedures, were evaluated and compared. Results : The 9 patients who underwent emergent operations because of active bleeding consisted of 7 men and 2 women. The average age was 33.3 years (range, 21∼51 years). In all cases, the type of UC was total colitis. Emergent operations were performed after the sudden onset of bleeding. A total colectomy and ileostomy was performed in 2 cases, and ileal pouch anal anastomosis (IPAA) was performed in 7 cases. The previous procedure was performed prior to 1998, while the latter procedure was performed after 1998. IPAA enabled bleeding from the colon to be controlled, and the rate of anastomotic and postoperative complications was almost the same as that of the conventional procedure.
Conclusions : IPAA is a useful procedure for controlling active bleeding in patients with UC.
