Ileal pouch-anal anastomosis: Points of controversy
نویسندگان
چکیده
منابع مشابه
Clinical 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 کاملLaparoscopic 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 کاملCharacterization of the Gut-Associated Microbiome in Inflammatory Pouch Complications Following Ileal Pouch-Anal Anastomosis
INTRODUCTION Inflammatory complications following ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC) are common and thought to arise through mechanisms similar to de novo onset inflammatory bowel disease. The aim of this study was to determine whether specific organisms in the tissue-associated microbiota are associated with inflammatory pouch complications. METHODS Patients havi...
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ژورنال
عنوان ژورنال: Journal of Visceral Surgery
سال: 2014
ISSN: 1878-7886
DOI: 10.1016/j.jviscsurg.2014.05.004