Despite improvements in the surgical mortality with ulcerative colitis, opinions differ considerably regarding the time for surgery and the best procedure.1-5 The indications for partial colectomy, ileostomy alone, subtotal colectomy with or without ileoproctostomy, and total one-stage colectomy have not always been clarified. Steroid therapy has been implemented both in the causation of complications and in decreasing the need for surgery. The experience at the University Hospital during the past 12 years further emphasizes the importance of these factors. It suggests that surgical complications may be decreased by earlier surgery, better control of infections, and careful selection of the initial operative procedure.
Material and Results
During the 12 years, July, 1950, through June, 1962, eighty-two patients had 133 operations for the treatment of their chronic ulcerative colitis. There were 43 male and 39 female patients with age ranging from 14 to 67 years. These were selected for surgery from
WILLIAMS RD, ELLIOTT DW. Surgery for Ulcerative Colitis. Arch Surg. 1963;86(5):761–764. doi:10.1001/archsurg.1963.01310110071010