We experienced two children with ulcerative colitis undergoing ileoanal anastomosis. Case 1 was a 10-year-old girl who complained of melena due to severe first attack of total colitis. Case 2 was a 13-year-old boy who had been treated for about 4 years with intermittent intractable colitis. Two staged operation was performed in case 1, and three staged operation in case 2. Each case had a good postoperative course and no trouble related to anal function. Before ileoanal anastomosis became popular, either curability or anal function had to be abandoned. These incompletenees made surgeons hesitate to choose surgical therapy for ulcerative colitis in children. At present, however, ileoanal anastomosis is a safe procedure and provides a good quality of life not only for adults but also for children. In conclusion, ileoanal anastomosis should be chosen as the first choice procedure for children.
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