Adenocarcinoma arising from along the rectal stump after double-stapled ileorectal J-pouch in a patient with ulcerative colitis: The need to perform a distal anastomosis

2001 ◽  
Vol 44 (8) ◽  
pp. 1214-1217 ◽  
Author(s):  
Nicolas A. Rotholtz ◽  
Alon J. Pikarsky ◽  
Jay J. Singh ◽  
Steven D. Wexner
Keyword(s):  
Ulcerative Colitis ◽  
Rectal Stump ◽  
Distal Anastomosis ◽  
J Pouch

scholarly journals The Handling of the Rectal Stump Does Not Affect Severe Morbidity After Subtotal Colectomy For Ulcerative Colitis: A Retrospective Cohort Study

2019 ◽  
Vol 109 (3) ◽  
pp. 238-243
Author(s):  
M. Lissel ◽  
S. Omidy ◽  
P. Myrelid ◽  
M. Block ◽  
E. Angenete
Keyword(s):  
Risk Factors ◽  
Ulcerative Colitis ◽  
Body Mass Index ◽  
Emergency Surgery ◽  
Retrospective Cohort ◽  
Subtotal Colectomy ◽  
Rectal Stump ◽  
Aminosalicylic Acid ◽  
Severe Morbidity ◽  
Preoperative Medication

Background and Aims: Colectomy due to ulcerative colitis is associated with complications. One severe complication is the risk for blow-out of the remaining rectal remnant. The aim of this study was to compare the frequency and severity of complications in patients with the rectal remnant left subcutaneously versus patients with the rectal remnant left intra-abdominally. A secondary aim was to identify risk factors for complications. Materials and Methods: Consecutive patients at two tertiary centers in Sweden were retrospectively reviewed regarding surgical procedures; complications classified according to Clavien–Dindo; and possible risk factors for complications such as preoperative medication, emergency surgery, and body mass index. Results: 307 patients were identified. Minor complications were more common than previously reported (85%–89%). Severe surgical complications were not related to the handling of the rectal remnant. Leaving the rectal remnant subcutaneously was associated with local wound problems. Risk factors for severe complications were emergency surgery and preoperative medication with 5-aminosalicylic acid. Conclusion: Minor complications after colectomy for ulcerative colitis are very common and need to be addressed. Leaving the rectal stump intra-abdominally seems safe and may be advantageous to reduce local wound morbidity.

Technical considerations in children undergoing laparoscopic ileal-J-pouch anorectal anastomosis for ulcerative colitis

2011 ◽  
Vol 28 (4) ◽  
pp. 351-356 ◽  
Author(s):  
Girolamo Mattioli ◽  
Edoardo Guida ◽  
Alessio Pini-Prato ◽  
Stefano Avanzini ◽  
Valentina Rossi ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
J Pouch ◽  
Technical Considerations

Adenocarcinoma on j-pouch after proctocolectomy for ulcerative colitis—case report and review of literature

2014 ◽  
Vol 29 (9) ◽  
pp. 1171-1173
Author(s):  
Morelli Luca ◽  
Palmeri Matteo ◽  
Tartaglia Dario ◽  
Guadagni Simone ◽  
Di Candio Giulio ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Case Report ◽  
Review Of Literature ◽  
J Pouch

Utility of Pouchoscopy Between J-Pouch Stages in Chronic Ulcerative Colitis

2015 ◽  
Vol 110 ◽  
pp. S815-S816
Author(s):  
Jennifer X. Cai ◽  
Jasmine Barrow ◽  
Alyssa Parian ◽  
Theodore Bayless ◽  
Steven Brant ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Chronic Ulcerative Colitis ◽  
J Pouch
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