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Surgical Management of Ulcerative Colitis - Department of Surgery ...

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Mucosectomy vs Double<br />

Staple<br />

• Double Staple = retained rectal mucosa => potential<br />

for proctitis & Ca<br />

• Double staple <br />

• Increased anal resting pressure<br />

• Preservation <strong>of</strong> the rectoanal inhibitory reflex<br />

• Improved continence<br />

• Fewer septic complications<br />

• Other studies have shown no difference<br />

• => surgeon’s preference<br />

www.downstatesurgery.org<br />

Maingot 11th ed, Hallgren et al 1995

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