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Section of Coloproctology: Royal Society of Medicine, Short Papers Meetings, February 2003

Results: All four patients had previously failed medical therapy and declined restorative proctocolectomy, instead preferring subtotal colectomy and ileostomy. Three cases were open procedures, with one performed laparoscopically. The initial attempt at mucosal ablation was abandoned due to inadequate rectal luminal distension following rectal transection early in the procedure. In the remainder, total rectal mucosal ablation was achieved, without significant complication, with a median operative time of 35 minutes. On follow-up, although all 3 patients have a minor discharge per annum, no residual epithelium has been demonstrated histologically.