scholarly journals Long-term outcomes following restorative proctocolectomy ileal pouch-anal anastomosis in pediatric ulcerative colitis patients: Multicenter national study in Japan

2018 ◽  
Vol 2 (6) ◽  
pp. 428-433 ◽  
Author(s):  
Hiroki Ikeuchi ◽  
Motoi Uchino ◽  
Akira Sugita ◽  
Kitaro Futami ◽  
Kouhei Fukushima ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
National Study ◽  
Long Term Outcomes ◽  
Anal Anastomosis

scholarly journals P524 Long-term outcomes after restorative proctocolectomy and ileal pouch-anal anastomosis in children compared to adults

2017 ◽  
Vol 11 (suppl_1) ◽  
pp. S346-S347
Author(s):  
K. Diederen ◽  
S. Sahami ◽  
M. Tabbers ◽  
M. Benninga ◽  
A. Kindermann ◽  
...  
Keyword(s):  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis

Short- and Long-term Outcomes of Ileal Pouch Anal Anastomosis Construction In Obese Ulcerative Colitis Patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ira L. Leeds ◽  
Stefan D. Holubar ◽  
Tracy L. Hull ◽  
Jeremy M. Lipman ◽  
Amy L. Lightner ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis ◽  
Short And Long Term

Long-Term Outcomes after Restorative Proctocolectomy and Ileal Pouch-Anal Anastomosis in Children Compared to Adults

2017 ◽  
Vol 152 (5) ◽  
pp. S617
Author(s):  
Kay Diederen ◽  
Saloomeh Sahami ◽  
Merit Tabbers ◽  
Pieter Tanis ◽  
Marc A. Benninga ◽  
...  
Keyword(s):  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis

scholarly journals Volvulus of the ileal pouch–anal anastomosis: a meta-narrative systematic review of frequency, diagnosis, and treatment outcomes

2019 ◽  
Vol 7 (6) ◽  
pp. 403-410 ◽  
Author(s):  
Muhammad Jawoosh ◽  
Samir Haffar ◽  
Parakkal Deepak ◽  
Alyssa Meyers ◽  
Amy L Lightner ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Endoscopic Treatment ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Management Approach ◽  
Long Term Outcomes ◽  
Anal Anastomosis ◽  
Surgical Operations ◽  
Median Interval

Abstract Background Proctocolectomy with ileal pouch–anal anastomosis (IPAA) is the surgical procedure of choice for medically refractory ulcerative colitis and familial adenomatous polyposis. While rare, a pouch volvulus can occur. We aimed to determine the frequency, presentation, and management approach of pouch volvulus in patients with IPAA. Methods A systematic search of published literature was performed by a medical reference librarian on 10 August 2018 and two independent reviewers identified relevant publications, extracted data, and assessed the methodological quality based on a validated tool. A retrospective review of the Mayo Clinic electronic medical records identified one case of pouch volvulus between January 2008 and August 2018. Results The frequency of pouch volvulus from one large published study reporting long-term outcomes of IPAA was 0.18% (3/1,700). A total of 22 patients (18 ulcerative colitis) were included (median age 32 years, 73% females). Median time to volvulus after IPAA was 36 months while median interval to volvulus diagnosis from symptom onset was 24 hours. Abdominal pain was the most commonly reported symptom (76%). The diagnosis was made primarily by abdominal computed tomography (13/17 patients, 76%). Endoscopic treatment was successful in 1 of 11 patients (9%). Surgery was performed in 20 patients and pouch-pexy and pouch excision were the most frequent surgical operations. A redo IPAA was performed in five patients (25%). Conclusion Pouch volvulus is a rare but serious complication of IPAA and should be suspected even in the absence of obstruction symptoms. Endoscopic treatment often fails and surgery is effective when performed early.

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