台灣外科醫學會雜誌

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	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
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	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
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	第58卷第2期 2025-3 Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication
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	第58卷第2期 2025-3 Operations for choledochal cysts: A 25-year experience at a tertiary care center in India
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	第58卷第2期 2025-3 A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?
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	第58卷第2期 2025-3 Recurrent gallstone ileus, a deadly encounter: A case report
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	第58卷第2期 2025-3 The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan
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	第58卷第2期 2025-3 Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study
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	第58卷第2期 2025-3 Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis
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	第58卷第2期 2025-3 Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study
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	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
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	第58卷第1期 2025-1 Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols
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	第58卷第1期 2025-1 Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones
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	第58卷第1期 2025-1 Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report
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	第58卷第1期 2025-1 Pilonidal sinus of scrotum: A rare clinical entity
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	第58卷第1期 2025-1 Incidental autopsy finding of retiform hemangioendothelioma of the spleen
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	第58卷第1期 2025-1 Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series
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篇名	Surgical Treatment Of Ulcerative Colitis
作者	Ssu-Ming Huang, Tzu-Chi Hsu
卷期/出版年月	40卷2期 (2007/4)
頁次	67-74
摘要	Objective: The outcomes of surgical management for ulcerative colitis (UC) in western people have been well discussed in the literature. However, there are few reports of surgical treatment of UC in Taiwan. The aim of this study was to evaluate outcomes of 35 consecutive patients who underwent different colectomies by a single surgeon. Methods: A series of 35 patients who received surgical treatment for UC between December 1983 and August 2005 were analyzed. The discussion is focused on the surgical indications and functional results after surgical treatment. Various articles in the literature are reviewed and their results compared with ours. Results: Total proctocolectomy with conventional Brooke ileostomy was performed in one patient with an initially favorable outcome. Total colectomy with ileostomy was performed in one patient, who, however, succumbed to heart disease and sepsis postoperatively. Eleven patients underwent total colectomy with ileorectal anastomosis and all had satisfactory functional outcomes. Twenty-two patients received restorative proctocolectomy. There was no operation-related death. The morbidity rate was as high as that in the literature. Five pouches (23%) have been excised for pouch failure. The mean daytime and nighttime frequencies were 4.2 and 2.2 times respectively. Three patients (15%) with intermittent pouchitis were ameliorated by medical treatment. Conclusions: Several surgical options are available for the treatment of ulcerative colitis. Each option has its place and should be discussed with every patient. The outcome of restorative proctocolectomy for UC in this series performed by one experienced surgeon was acceptable.
關鍵詞	ulcerative colitis (UC), ileal pouch anal anastomosis, restorative proctocolectomy
分類	Original Article