DETERMINATION OF INDICATIONS FOR RECONSTRUCTIVE AND RECOVERY SURGICAL TREATMENT OF COMPLICATED ULCERATIVE COLITIS FORMS (REVIEW)
For 30% of patients with ulcerative colitis, surgery is inevitable. It is possible to completely save the patient from ulcerative colitis with a surgical intervention, which is coloproctectomy with a permanent ileostomy. But a big problem for the patient is the existence of a cosmetic defect on the anterior abdominal wall with rather frequent development of peristomal and parastomal postoperative complications, as well as difficulty in social adaptation due to the presence of an unnatural anus. The purpose of this review is to collect and systematize the iterature data about options for determining the timing and choice of the surgical intervention type for patients with complicated forms of ulcerative colitis. Coloproctectomy with ileopouchrectal anastomosis, according to modern concepts, is the operation of choice for chronic, drug-resistant ulcerative colitis. At the same time, it has a somewhat compromise option due to the need to preserve the rectal cuff at the lower and sometimes middle-ampullar level, in order to form a stapler anastomosis. The question of the reconstructive surgical intervention possibility in each case is decided individually.