COMPLICATIONS AND RISK-FACTORS AFTER ILEAL POUCH-ANAL ANASTOMOSIS FOR ULCERATIVE-COLITIS ASSOCIATED WITH PRIMARY SCLEROSING CHOLANGITIS

Objective This study determined predictive factors for postoperative complications and outcome after ileal pouch-anal anastomosis in patients with ulcerative colitis and primary sclerosing cholangitis. Summary Background Data Patients with ulcerative colitis and primary sclerosing cholangitis treated by colectomy and ileostomy are at high risk of troublesome bleeding from peristomal varices. Methods Postoperative complications and outcome were assessed in 40 patients with ulcerative colitis and sclerosing cholangitis who received an ileal pouch-anal anastomosis between January 1981 and February 1990. Results Immediate postoperative and remote ileoanal anastomosis-related complications were high but related directly to the severity of liver disease. No patient had perianastomotic anal bleeding. Conclusions In patients with both ulcerative colitis and primary sclerosing cholangitis, ieal pouch-anal anastomosis is safe and is not associated with perianastomotic bleeding.