Ileal pouch–anal anastomosis (IPAA) surgery preserves fecal continence for improved quality of life in patients who require proctocolectomy for treatment of severe bowel diseases such as inflammatory disease and familial adenomatous polyposis. In IPAA surgery, an ileal reservoir, or pouch, is created and anastomosed to the anal canal. Awareness of the surgical technique and the postoperative an...

Patients may develop fistulas due to Crohn's disease or as a postoperative complication after restorative proctocolectomy with ileal pouch anal anastomosis. Unfortunately, the treatment of fistulas can be challenging. The current standard of care may include medical therapy and/or surgical intervention. However, endoscopic treatment for postoperative pouch complications has emerged as a valid a...

A case of adenocarcinoma arising in a 39-year-old patient after restorative proctocolectomy is reported. The patient underwent an ileal pouch-anal anastomosis with double-stapled technique for severe ulcerative colitis 18 years earlier, without evidence of associated neoplasm or dysplasia in operative specimen. After endoscopic diagnosis of adenocarcinoma, the patient was submitted to excision ...

To cite: Copley PC, Tyler R, Alvi A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015213662 DESCRIPTION Restorative proctocolectomy with ileal pouch-anal anastomosis is the surgical treatment of choice for patients with refractory ulcerative colitis. Long-term complications of this procedure include pouchitis, metabolic complications, strictures, fistulae, pou...

Abstract Described for the first time in medical literature 1978 by Parks and Nicholls, total proctocolectomy with ileal-pouch anal anastomosis (IPAA) is nowadays procedure of choice patients ulcerative colitis whom therapy has, a selected group Crohńs disease, familial adenomatous polyposis. Despite advances treatment regarding inflammatory bowel up to 30% still require surgery, restorative IP...