2011 Volume 60 Issue 2 Pages 114-118
A-77-old man was admitted to our hospital because of melena in August 2010. Colonoscopy was performed on him, and the case was diagnosed as ulcerative colitis. His symptoms did not abate despite the administration of mesaladine and steroid. He was thus diagnosed with reflactory ulcerative colitis, and underwent total proctocolectomy. The patient had an uneventaful postoperative course and was discharged from our hospital on the 31st postoperative day. Total proctocolectomy was considerd one of the useful operative procedures for old patients with ulcerative colitis.