A Personalized Approach to Managing Patients With an Ileal Pouch-Anal Anastomosis
نویسندگان
چکیده
منابع مشابه
Laparoscopic proctocolectomy with ileal j-pouch anal anastomosis in children.
BACKGROUND/AIMS We aimed to evaluate postoperative fecal incontinence scales of children who underwent laparoscopic proctocolectomy and ileal J-pouch anastomosis for familial adenomateous polyposis (FAP) and inflammatory bowel disease (IBD). MATERIALS AND METHODS Fecal incontinence scores were collected at 3 months post-surgery. A retrospective chart review was also performed to obtain the de...
متن کاملLeading article Ileal pouch-anal anastomosis for Crohn’s disease
Over the past 10 years ileal pouch-anal anastomosis has become the operation of choice for most patients with ulcerative colitis. Although pouch surgery in ulcerative colitis does have a moderate complication rate, so do the alternatives of proctocolectomy and ileostomy. The very real advantage of avoiding a stoma along with the inherent curability of ulcerative colitis by excisional surgery he...
متن کاملSexual function after failed ileal pouch-anal anastomosis.
BACKGROUND AND AIMS Failure of ileal pouch-anal anastomosis (IPAA) occurs in around 10% of the patients. Compared to patients with functioning pouches, health related quality of life is deteriorated after failure. Sexual function in patients with pouch failure is however poorly studied. The aim was to study sexual function in patients with pelvic pouch failure; patients with functioning pouches...
متن کاملClinical and physiological aspects of ileal pouch-anal anastomosis.
Proctocolectomy with ileal pouch-anal anastomosis is the surgical treatment of choice for severe chronic ulcerative colitis and familial polyposis coli because the entire colonic mucosa is removed while anal function can be preserved and the necessity for permanent ileostomy is eliminated. Long-term functional results are generally gratifying, as defecation frequency and degree of incontinence ...
متن کاملWhen Not to Pouch: Important Considerations for Patient Selection for Ileal Pouch-Anal Anastomosis.
Ileal pouch-anal anastomosis (IPAA) is the preferred surgical treatment for patients who undergo colectomy and wish to avoid a permanent ileostomy. The overall outcomes are positive, with an improved quality of life and stable long-term pouch retention. However, certain conditions or disease states may be at a higher risk of pouch dysfunction or failure. For example, obese patients have an incr...
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ژورنال
عنوان ژورنال: Frontiers in Medicine
سال: 2020
ISSN: 2296-858X
DOI: 10.3389/fmed.2019.00337