The failure rate of restorative proctocolectomy (RP) varies from 5 to 15% of the cases [1, 2], but with the lengthening of follow-up, the rate exceeds 15% . Failure of the RP refers to the necessity of fashioning a loop ileostomy with the pouch in site or the removal of the pouch with definitive ileostomy. The causes of failure include acute and chronic sepsis, bad functioning in regard to mechanical and functional causes and mucosal inflammatory processes. Procedures for avoiding loss of anal function come within the scope of salvage surgery.
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