PMID: 8944442Oct 1, 1996Paper

Disconnection, pouch revision and reconnection of the ileal pouch-anal anastomosis

The British Journal of Surgery
P M SagarK A Kelly

Abstract

The aim of this retrospective study was to determine the outcome of patients with a dysfunctional pelvic ileal reservoir in whom disconnection of an ileal pouch-anal anastomosis (IPAA), pouch revision and reanastomosis had been carried out. There were 23 patients (15 women). At the revision operation functional problems were found to be due to a long efferent spout (nine patients), sepsis and/or fistula (four), a redundant blind limb (three), a twisted pouch (three), anastomotic problems (three) or no reservoir (one). The pouch was salvaged in 16 patients and a new pouch was constructed in seven. The pouch-anal anastomosis was resutured in 22 patients and stapled in one. Postoperative complications (all minor) occurred in six patients. Two patients underwent two revision of IPAA. At a median follow-up of 5 (range 1-10) years, 11 patients reported good to excellent function, five reported fair function and one reported recurrent pouchitis. Revision surgery was unsuccessful in six of 23 patients (three had gross incontinence, two excessive bowel movements and one Crohn's disease), and they subsequently underwent pouch excision. It is concluded that revision of an ileal reservoir and IPAA can be undertaken safely with good results...Continue Reading

References

Jul 8, 1978·British Medical Journal·A G Parks, R J Nicholls
Feb 1, 1992·Current Problems in Surgery·K A KellyR R Dozois
Oct 1, 1990·Annals of Surgery·S GalandiukR M Devine
Aug 1, 1988·International Journal of Colorectal Disease·N A ScottD M Ilstrup
Jul 1, 1985·Diseases of the Colon and Rectum·L Liljeqvist, K Lindquist
Sep 1, 1985·The British Journal of Surgery·R R Dozois
Aug 1, 1980·The British Journal of Surgery·A G ParksP Belliveau
Mar 1, 1994·The British Journal of Surgery·P M Sagar, B A Taylor
Feb 1, 1994·Diseases of the Colon and Rectum·W G LewisD Johnston
May 1, 1993·Diseases of the Colon and Rectum·G PoggioliG Gozzetti

❮ Previous
Next ❯

Citations

Dec 14, 2001·Diseases of the Colon and Rectum·J L FaucheronC Letoublon
Oct 5, 2001·Diseases of the Colon and Rectum·O ZmoraS D Wexner
May 21, 1998·Diseases of the Colon and Rectum·P J KlinglerP P Metzger
Jul 25, 1998·Diseases of the Colon and Rectum·J KlasB A Harms
Jun 20, 2000·Diseases of the Colon and Rectum·O Iwuagwu, G T Deans
Dec 10, 2009·Surgery Today·Ken-ichi TakahashiIwao Sasaki
Jul 20, 2002·Diseases of the Colon and Rectum·Anthony R MacLeanRobin S McLeod
May 8, 2007·Diseases of the Colon and Rectum·Vinodh Kumar Reddy MaddireddyMark Katory
Jun 8, 2001·Gastroenterology Clinics of North America·L Stocchi, J H Pemberton
Jun 6, 2002·Alimentary Pharmacology & Therapeutics·R J Nicholls
Feb 1, 2004·Clinics in Colon and Rectal Surgery·David E Beck
Nov 1, 2006·Clinics in Colon and Rectal Surgery·Rowena L Ramirez, Phillip Fleshner
Feb 1, 2008·Clinics in Colon and Rectal Surgery·David E Beck
Feb 19, 1999·Annals of Surgery·E W Fonkalsrud, J Bustorff-Silva
Jan 25, 2006·Inflammatory Bowel Diseases·Simon P Bach, Neil J M Mortensen
Aug 2, 2003·Annals of Surgery·Hagit TulchinskyJohn Nicholls
Mar 18, 2005·Acta chirurgica Iugoslavica·R J Nicholls
Oct 30, 2008·Journal of Gastroenterology·Shigeyuki YoshiyamaMasato Kusunoki
Oct 11, 2011·Techniques in Coloproctology·S T MartinD C Winter
Nov 28, 2012·The Surgical Clinics of North America·Todd D Francone, Brad Champagne
Oct 23, 2009·Advances in Surgery·Myles R Joyce, Victor W Fazio
Feb 2, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Bo ShenVictor W Fazio
Feb 7, 2012·The British Journal of Surgery·P M Sagar, J H Pemberton
Jan 29, 1999·Chirurgie; mémoires de l'Académie de chirurgie·C A Paterson, R R Dozois
Sep 17, 2008·Gastroenterology Clinics of North America·Paris P Tekkis, R John Nicholls
Mar 31, 2009·Current Problems in Surgery·Myles R Joyce, David W Dietz
Dec 24, 2014·Journal of the American College of Surgeons·George E TheodoropoulosSteven D Wexner
Feb 20, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A J Kroesen
Oct 12, 2014·Journal of Crohn's & Colitis·Tom ØreslandUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Mar 11, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K SwarnkarB M Stephenson
Sep 21, 2016·World Journal of Gastrointestinal Surgery·Luigi SofoMaurizio Bossola
Aug 9, 2003·The British Journal of Surgery·H TulchinskyR J Nicholls
Mar 13, 2009·Diseases of the Colon and Rectum·Feza H RemziRavi P Kiran
Nov 18, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S D HolubarL Stocchi
Dec 20, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C RossiY Panis
Apr 28, 2005·The British Journal of Surgery·N DehniR Parc
Apr 30, 2005·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P P TekkisR J Nicholls
Nov 17, 2005·The British Journal of Surgery·M PrudhommeR Parc
Jan 25, 2006·The British Journal of Surgery·P P TekkisR J Nicholls
Mar 4, 2020·Techniques in Coloproctology·G PellinoUNKNOWN Italian Society of Colorectal Surgery SICCR
Jun 3, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A J Kroesen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.