Proctocolectomy with pouch is possible in selected group of patients with Crohn's disease. It is not appropriate to perform in cases of rectal, anal and small intestinal disease. If above excluding criteria are respected, it is possible to achieve satisfactory long-term results. It has to be remembered that complications may lead to the necessity of pouch excision and diversion. Mylonakis  reported that during 10.2 years of follow-up, 47% of patients experienced complications leading to the excision of the pouch. There is also a report of only 19% of complications in a selected group of patients with no pathological changes in rectum, and in distant part of ileum . Despite that fact, restorative proctocolectomy is not a preferred type of surgery in patients with Crohn's disease.
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