Results of ileal J-pouch-anal anastomosis in familial adenomatous polyposis complicated by rectal carcinoma

1994 ◽  
Vol 37 (2) ◽  
pp. 157-160 ◽  
Author(s):  
Christophe Penna ◽  
Emmanuel Tiret ◽  
Frederic Daude ◽  
Rolland Parc
Keyword(s):  
Familial Adenomatous Polyposis ◽  
Rectal Carcinoma ◽  
Adenomatous Polyposis ◽  
Anal Anastomosis ◽  
J Pouch

scholarly journals Proctocolectomy and ileal J-pouch anal anastomosis on the surgical treatment of familial adenomatous polyposis and ulcerative colitis: analysis of 49 cases

2012 ◽  
Vol 32 (3) ◽  
pp. 260-264
Author(s):  
Bruno Amaral Medeiros ◽  
Leonardo Estenio Iezzi ◽  
Marley Ribeiro Feitosa ◽  
Rogério Serafim Parra ◽  
Ana Luiza Normanha Ribeiro de Almeida ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Surgical Treatment ◽  
Familial Adenomatous Polyposis ◽  
Adenomatous Polyposis ◽  
Anal Anastomosis ◽  
J Pouch

scholarly journals Two-time perforation of the ileal J-pouch 6 and 18 years after restorative proctocolectomy and ileal pouch–anal anastomosis for familial adenomatous polyposis: a case report

2022 ◽  
Vol 8 (1) ◽  
Author(s):  
Kengo Shibata ◽  
Shota Ebinuma ◽  
Sodai Sakamoto ◽  
Asami Suzuki ◽  
Yasunobu Terasaki ◽  
...  
Keyword(s):  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Anastomotic Stricture ◽  
Abdominal Cavity ◽  
Ileal Pouch Anal Anastomosis ◽  
Intraluminal Pressure ◽  
Adenomatous Polyposis ◽  
Anal Anastomosis ◽  
J Pouch

Abstract Background Perforation of the ileal J-pouch after restorative proctocolectomy and ileal pouch–anal anastomosis are extremely rare. There has been no report of perforation of the ileal J-pouch occurring twice over several years. We report the first case of perforation at 6 and 18 years following restorative proctocolectomy. Case presentation The patient was a 52-year-old man who underwent a two-stage restorative proctocolectomy with a hand-sewn ileal J-pouch anal anastomosis due to familial adenomatous polyposis and sigmoid colon cancer at 34 years of age. At the age of 40, he underwent ileal pouch resection at its blind end, abdominal drainage, and anastomotic dilatation. The patient had a perforation of the blind end of the ileal J-pouch from increased intraluminal pressure, with anastomotic stricture and pervasive peritonitis. The patient had no symptoms for a few years; however, 18 years after the initial surgery and 12 years after the first perforation, the patient presented with severe abdominal pain. Computed tomography demonstrated pneumoperitoneum; accordingly, laparotomy was performed. Upon opening the abdominal cavity, contaminated ascites and inflammatory changes were documented involving the ileum. A 2-mm perforation involving the blind end of the ileal J-pouch was also observed and repaired, followed by temporary loop ileostomy creation. Postoperative endoscopy revealed an ulcer in the ileal J-pouch and a stricture located directly at the anastomosis. Conclusions The blind end of the J-pouch repeatedly perforated over the years due to recurrent anastomotic stricture. Regular surveillance is, therefore, considered necessary for the release of stricture, maintenance of anastomotic patency, and prevention of ileal J-pouch perforation.

Function of ileal J pouch-anal anastomosis in patients with familial adenomatous polyposis

1993 ◽  
Vol 80 (6) ◽  
pp. 765-767 ◽  
Author(s):  
C. Penna ◽  
E. Tiret ◽  
A. Kartheuser ◽  
L. Hannoun ◽  
B. Nordlinger ◽  
...  
Keyword(s):  
Familial Adenomatous Polyposis ◽  
Adenomatous Polyposis ◽  
Anal Anastomosis ◽  
J Pouch

scholarly journals Restorative Proctocolectomy: When to Propose and When to Avoid

2021 ◽  
Author(s):  
Marisa D. Santos
Keyword(s):  
Ulcerative Colitis ◽  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Adenomatous Polyposis ◽  
Entire Colon ◽  
Anal Anastomosis ◽  
Colon And Rectum ◽  
Complex Surgery ◽  
Over Time

Restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) is a surgical procedure performed when excising the entire colon and rectum is need and reconstitution of the intestinal transit through an ileal pouch is made with anastomosis to the anus. It is mainly used to treat patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC). It is a complex surgery with potential complications, and the functional outcomes can be worse over time. So, it is essential to select the appropriate patient, proceed to a correct surgical technique, and know-how to deal with and solve the main ileal pouch complications. This chapter intends to be a reflection on this subject.

Restorative proctocolectomy and ileal pouch-anal anastomosis for familial adenomatous polyposis revisited

2006 ◽  
Vol 5 (3) ◽  
pp. 241-260 ◽  
Author(s):  
Alex Kartheuser ◽  
Pierre Stangherlin ◽  
Dimitri Brandt ◽  
Christophe Remue ◽  
Christine Sempoux
Keyword(s):  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Adenomatous Polyposis ◽  
Anal Anastomosis
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