This surgical procedure seems to be the procedure of choice in the cases of extensive pathological changes in the entire large bowel. Perioperative mortality ranges from 1.5 to 4%. The risk for recurrence in the small intestine ranges from 3 to 46%, and an important risk factor of recurrence is the time from the first operation. After one year, the chance of recurrence is 5% and rises to 20% after 20 years from surgery. In 90% of patients who have undergone proctocolecto-my with ileostomy, the recurrence will localise in the terminal 25-cm segment of the ileum . In a group of patients that have been treated with steroids and immunosuppressive drugs or in patients with a steroid resistant type of the disease, proctocolectomy with ileostomy may enable the withdrawal of those medications. This is a very important factor for women who are planning for pregnancy .
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