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

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

Short- and Long-term Outcomes After Ileal Pouch Anal Anastomosis in Pediatric Patients: A Systematic Review

2019 ◽  
Vol 25 (7) ◽  
pp. 1152-1168 ◽  
Author(s):  
Amy L Lightner ◽  
Ahmad Alsughayer ◽  
Zhen Wang ◽  
Nicholas P McKenna ◽  
Mohamed O Seisa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pediatric Patients ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis ◽  
Short And Long Term

The Impact of Age at Time of Ileal Pouch Anal Anastomosis on Short and Long-Term Outcomes in Adults

2018 ◽  
Vol 24 (8) ◽  
pp. 1857-1865 ◽  
Author(s):  
Nicholas P McKenna ◽  
Kellie L Mathis ◽  
John H Pemberton ◽  
Amy L Lightner
Keyword(s):  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis ◽  
Short And Long Term ◽  
The Impact

Rectal eversion: safe and effective way to achieve low transaction in minimally invasive Ileal pouch-anal anastomosis surgery, short- and long-term outcomes

2019 ◽  
Vol 34 (3) ◽  
pp. 1290-1293
Author(s):  
Jose Cataneo ◽  
Peter Mowschenson ◽  
Thomas E. Cataldo ◽  
Vitaliy Y. Poylin
Keyword(s):  
Minimally Invasive ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis ◽  
Short And Long Term

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.

Long-term outcomes of ileal pouch-anal anastomosis for pediatric chronic ulcerative colitis

2015 ◽  
Vol 50 (10) ◽  
pp. 1625-1629 ◽  
Author(s):  
Stephanie F. Polites ◽  
Donald D. Potter ◽  
Christopher R. Moir ◽  
Abdalla E. Zarroug ◽  
Michael C. Stephens ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Chronic Ulcerative Colitis ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Long Term Outcomes ◽  
Anal Anastomosis

Transanal Ileal Pouch-Anal Anastomosis for Ulcerative Colitis has Comparable Long-Term Functional Outcomes to Transabdominal Approach: A Multicentre Comparative Study

2019 ◽  
Vol 14 (6) ◽  
pp. 726-733 ◽  
Author(s):  
Pramodh Chandrasinghe ◽  
Michele Carvello ◽  
Karin Wasmann ◽  
Caterina Foppa ◽  
Pieter Tanis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ulcerative Colitis ◽  
Functional Outcomes ◽  
Ileal Pouch ◽  
Cohort Analysis ◽  
Ileal Pouch Anal Anastomosis ◽  
Global Quality Of Life ◽  
Anal Anastomosis

Abstract Background The transanal approach to ileal pouch-anal anastomosis [Ta-IPAA] provides better access to the lower pelvis with lower short-term morbidity in ulcerative colitis [UC]. The aim of this study was to assess the long-term functional outcomes after Ta-IPAA vs transabdominal IPAA [Abd-IPAA] in UC. Methods A multicentre cohort analysis was performed between March 2002 and September 2017. Patient characteristics, surgical details and postoperative outcomes were compared. CGQL [Cleveland global quality of life] score at 12 months with a functioning pouch was considered the primary end point. Results A total of 374 patients [100 Ta-IPAA vs 274 Abd-IPAA] were included. Ta-IPAA demonstrated a comparable overall quality of life [CGQL score] to Abd-IPAA [0.75 ± 0.11 vs 0.71 ± 0.14; respectively, p = 0.1]. Quality of life [7.71 ± 1.17 vs 7.30 ± 1.46; p = 0.04] and energy-level items [7.16 ± 1.52 vs 6.66 ± 1.68; p = 0.03] were significantly better after Ta-IPAA, while the quality of health item was comparable [7.68 ± 1.26 vs 7.64 ± 1.44; p = 0.96]. Analysis excluding anastomotic leaks did not change the overall CGQL scores. Stool frequencies [>10/24 h: 22% vs 21%; p = 1.0] and the rate of a single episode of major incontinence during the following 12-month period [27% vs 26%; p = 0.89] were similar. The differences in 30-day morbidity rates [33% vs 41%; p = 0.2] and anastomotic leak rates were not significant [6% vs 13%; p = 0.09]. Conclusions This study provides evidence of comparable long-term functional outcome and quality of life after Ta-IPAA and Abd-IPAA for UC.

Short- and Long-Term Surgical Outcomes in Patients Undergoing Proctocolectomy With Ileal Pouch-Anal Anastomosis in the Setting of Primary Sclerosing Cholangitis

2011 ◽  
Vol 54 (7) ◽  
pp. 787-792 ◽  
Author(s):  
Kellie L. Mathis ◽  
Luis A. Benavente-Chenhalls ◽  
Eric J. Dozois ◽  
Bruce G. Wolff ◽  
David W. Larson
Keyword(s):  
Primary Sclerosing Cholangitis ◽  
Surgical Outcomes ◽  
Sclerosing Cholangitis ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis ◽  
Short And Long Term
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