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. 2004 Feb;17(1):43-55.
doi: 10.1055/s-2004-823070.

Complications of ileoanal pouches

Emre Gorgun  1 , Feza H Remzi
Affiliations

Complications of ileoanal pouches

Emre Gorgun et al. Clin Colon Rectal Surg. 2004 Feb.

Abstract

Restorative proctocolectomy with ileal pouch-anal anastomosis is the surgical therapy of choice for patients with chronic ulcerative colitis and the majority of patients with familial adenomatous polyposis. It restores gastrointestinal continuity, re-establishes transanal defecation, and avoids a permanent stoma. Although this technically demanding procedure is associated with low mortality rates, it is frequently accompanied by early and late complications. This article will review these complications and discuss the interventions that are needed to provide appropriate treatment.

Keywords: Restorative proctocolectomy; complications; ileal pouch-anal anastomosis; morbidity.

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Figures

Figure 1
Figure 1
Likely locations of leaks. Printed with permission of The Cleveland Clinic Foundation, Cleveland, Ohio.
Figure 2
Figure 2
The algorithm for the management of perioperative pouch bleeding.
Figure 3
Figure 3
The inadvertent creation of pouch vaginal fistula. Printed with permission of The Cleveland Clinic Foundation, Cleveland, Ohio.
Figure 4
Figure 4
Pouch advancement and neoileoanal anastomosis for anastomotic stricture.
Figure 5
Figure 5
Recommended algorithm for management of risk of ATZ dysplasia.
See this image and copyright information in PMC

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