The Current Operation of RP and IPAA Indications

It follows that RP/IPAA is a suitable and preferred operation for patients where subtotal colectomy or TPC and Brooke ileostomy are not indicated. In general, these are patients who:

• are in good condition mentally and physically

• have had no previous small bowel (SB) resections

• have good anal sphincter function

• are without evidence of CD, such as perianal fistula (past or present)

• may be diagnosed of indeterminate colitis

• have no history of radiation to the abdomen

• may undergo RP with curative intent if colorectal cancer is present

• are particularly eligible if portal hypertension is present in association with UC (Kartheuser et al, 1996).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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