In asymptomatic patients with UC and a retained rectal stump after Hartmann, is endoscopic closure with an over-the-scope clip or leaving it open with monitoring preferred

What is known

- The literature here concerns surgical (operative) stump management decided at the time of colectomy, intraperitoneal Hartmann's pouch, closure at the rectus sheath, subcutaneous placement, or an open mucous fistula, not endoscopic intervention on an already-established Hartmann stump. ^1–4

What is unknown / caveats

- The retrieved excerpts do not address endoscopic closure of a retained rectal stump with an over-the-scope clip. - They do not compare that approach to leaving the stump open and monitoring.

## References

1. Strong SA. Surgical treatment of inflammatory bowel disease. Curr Opin Gastroenterol. 2002;18(4):441-6. PMID: 17033319.

2. Renaud M, Ayav A, Caron B, Peyrin-Biroulet L, Germain A. Is Hartmann's Pouch an Option in the Management of Acute Severe Ulcerative Colitis?. J Clin Med. 2022;11:ePub only. PMID: 35807142.

3. Gallo G, Kotze PG, Spinelli A. Surgery in ulcerative colitis: When? How?. Best Pract Res Clin Gastroenterol. 2018;32-33:71-78. PMID: 30060941.

4. Argyriou O, Ghersin I, Stravodimos G, Worley G, Tozer P, Hart A, Sahnan K. The Rectal Stump During and After Subtotal Colectomy for Ulcerative Colitis: A Narrative Review of Surgical Strategies, Medical Management Options, and Cancer Surveillance Recommendations. J Clin Med. 2026. PMID: 41682797.

For educational use only, not a substitute for clinical judgement or medical advice. Consult qualified clinicians for diagnosis and treatment decisions. This tool may contain errors; use the flag button below to report inaccurate or harmful content.

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_Draft, generated by the IBDology RAG and not yet clinician-reviewed. Answers are grounded in the retrieved literature listed above; a high faithfulness score means the answer matches its sources, not that the sources are correct._