scholarly journals Cap polyposis treated with laparoscopic-assisted total proctocolectomy and ileal J-pouch anal anastomosis: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Tomohiro Minagawa ◽  
Hiroki Ikeuchi ◽  
Kurando Kusunoki ◽  
Ryuichi Kuwahara ◽  
Yuki Horio ◽  
...  
Keyword(s):  
Antimicrobial Treatment ◽  
Total Proctocolectomy ◽  
Aminosalicylic Acid ◽  
Short Period ◽  
Anal Anastomosis ◽  
J Pouch ◽  
Cap Polyposis ◽  
Laparoscopic Assisted ◽  
Bloody Stools

Abstract Background Cap polyposis (CP) is extremely rare in Japan, and there is no established cure. We report a case in which CP was improved by surgical treatment. Case presentation A 48-year-old man was investigated at a local hospital because of diarrhea and bloody stools in 2018. The patient was treated with metronidazole for suspected amoebic dysentery, but his symptoms did not improve. Subsequent close examination revealed possible CP, but treatment with 5-aminosalicylic acid and a steroid enema had no effect. The patient was then referred to our hospital. The bloody stools, diarrhea, and abdominal pain worsened despite medical treatment, so laparoscopic-assisted total proctocolectomy and ileal J-pouch anal anastomosis with ileostomy were performed. CP has no known cause or established treatment, but Helicobacter pylori (HP) infection has been reported in many CP cases in Japan, and HP eradication is often successful. This patient was HP-negative and did not improve with antimicrobial treatment, but the symptoms improved after surgery. Conclusions Even after surgery, CP recurrence reportedly occurs within a short period in many cases. However, our patient has had no signs of CP recurrence during 1 year of follow-up.

Incisionless Laparoscopic Total Proctocolectomy with Ileal J-Pouch Anal Anastomosis

2011 ◽  
Vol 77 (7) ◽  
pp. 929-932 ◽  
Author(s):  
Francisco Abarca ◽  
Kyle G. Cologne ◽  
Amanda Francescatti ◽  
Marc I. Brand ◽  
Theodore J. Saclarides
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Total Proctocolectomy ◽  
Specimen Extraction ◽  
Pfannenstiel Incision ◽  
Anal Anastomosis ◽  
J Pouch ◽  
Group 2 ◽  
Group 1

Minimally invasive surgery continues to evolve. Recent innovations have included single-incision access, robotic technology, and natural orifice dissection and/or specimen extraction. Many argue that there is minimal patient benefit to these advanced techniques. We report 39 patients undergoing laparoscopic ileal J-pouch anal anastomosis surgery, 17 of whom did not have a separate specimen extraction incision (Group 1). The specimen for this group was extracted through the circular incision made for the ileostomy; the pouch was constructed extracorporeally and returned to the abdomen through the stoma site. For the remaining 22 patients, a suprapubic Pfannenstiel incision was made (Group 2). No hand-assistance was used for either group. Group 1 showed a 45-minute reduction in operative time, a 1-day reduction in hospital stay, and a reduction in complications. Although these differences are modest, it shows that minimally invasive surgery is an evolving process. Small modifications may translate into significant advantages.

Laparoscopic rectopexy for recurrent volvulus of J pouch after total proctocolectomy and ileal pouch anal anastomosis

2015 ◽  
Vol 19 (3) ◽  
pp. 133-136 ◽  
Author(s):  
Suet-Ying Lee ◽  
Ka-Lung Fok ◽  
Hester Yui-Shan Cheung ◽  
Chung-Ngai Tang
Keyword(s):  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Total Proctocolectomy ◽  
Laparoscopic Rectopexy ◽  
Anal Anastomosis ◽  
J Pouch

Comparison of Reduced-port and Conventional Laparoscopic Total Proctocolectomy with Ileal J-pouch–anal Anastomosis

2015 ◽  
Vol 81 (2) ◽  
pp. 70-72
Author(s):  
Yasuhiro Inoue ◽  
Junichiro Hiro ◽  
Aya Kawamoto ◽  
Yoshinaga Okugawa ◽  
Yoshiki Okita ◽  
...  
Keyword(s):  
Total Proctocolectomy ◽  
Conventional Laparoscopic ◽  
Anal Anastomosis ◽  
J Pouch ◽  
Reduced Port

Reduced port versus conventional laparoscopic total proctocolectomy and ileal J pouch-anal anastomosis

2012 ◽  
Vol 26 (12) ◽  
pp. 3495-3499 ◽  
Author(s):  
Meagan M. Costedio ◽  
Erman Aytac ◽  
Emre Gorgun ◽  
Ravi P. Kiran ◽  
Feza H. Remzi
Keyword(s):  
Total Proctocolectomy ◽  
Conventional Laparoscopic ◽  
Anal Anastomosis ◽  
J Pouch ◽  
Reduced Port

Quality of life after total proctocolectomy and ileal J-pouch-anal anastomosis

1992 ◽  
Vol 35 (11) ◽  
pp. 1030-1039 ◽  
Author(s):  
Shinsuke Fujita ◽  
Masato Kusunoki ◽  
Yasutsugu Shoji ◽  
Takeo Owada ◽  
Joji Utsunomiya
Keyword(s):  
Quality Of Life ◽  
Total Proctocolectomy ◽  
Anal Anastomosis ◽  
J Pouch

Role of glucagon-like peptide (GLP)-2 and glicentin in an adaptive response after total proctocolectomy with ileal J-pouch anal anastomosis

2001 ◽  
Vol 120 (5) ◽  
pp. A267-A267
Author(s):  
H NAITO ◽  
Y FUNAYAMA ◽  
K FUKUSHIMA ◽  
C SHIBATA ◽  
T UENO ◽  
...  
Keyword(s):  
Adaptive Response ◽  
Total Proctocolectomy ◽  
Anal Anastomosis ◽  
J Pouch ◽  
Glucagon Like Peptide

Total Proctocolectomy and Ileal J-Pouch Anal Anastomosis for Chagasic Megacolon with Fecaloma: Report of a Case

Surgery Today ◽  
2006 ◽  
Vol 36 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Toshimitsu Araki ◽  
Chikao Miki ◽  
Shigeyuki Yoshiyama ◽  
Yuji Toiyama ◽  
Naoko Sakamoto ◽  
...  
Keyword(s):  
Total Proctocolectomy ◽  
Chagasic Megacolon ◽  
Anal Anastomosis ◽  
J Pouch

Role of glucagon-like peptide (GLP)-2 and glicentin in an adaptive response after total proctocolectomy with ileal J-pouch anal anastomosis

2001 ◽  
Vol 120 (5) ◽  
pp. A267
Author(s):  
Hiroo Naito ◽  
Yuji Funayama ◽  
Kohei Fukushima ◽  
Chikashi Shibata ◽  
Tatsuya Ueno ◽  
...  
Keyword(s):  
Adaptive Response ◽  
Total Proctocolectomy ◽  
Anal Anastomosis ◽  
J Pouch ◽  
Glucagon Like Peptide

scholarly journals Inflammatory Pouch Conditions Are Common After Ileal Pouch Anal Anastomosis in Ulcerative Colitis Patients

2019 ◽  
Vol 26 (7) ◽  
pp. 1079-1086 ◽  
Author(s):  
Maia Kayal ◽  
Michael Plietz ◽  
Anam Rizvi ◽  
Marlana Radcliffe ◽  
Alexa Riggs ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Ileal Pouch ◽  
Multivariable Analysis ◽  
Ileal Pouch Anal Anastomosis ◽  
Total Proctocolectomy ◽  
Refractory Disease ◽  
Pouch Failure ◽  
Increased Risk ◽  
Anal Anastomosis

Abstract Background Total proctocolectomy (TPC) with ileal pouch anal anastomosis (IPAA) is the gold standard surgery for ulcerative colitis (UC) patients with medically refractory disease. The aim of this study was to report the rates and risk factors of inflammatory pouch conditions. Methods This was a retrospective review of UC or IBD unspecified (IBDU) patients who underwent TPC with IPAA for refractory disease or dysplasia between 2008 and 2017. Pouchoscopy data were used to calculate rates of inflammatory pouch conditions. Factors associated with outcomes in univariable analysis were investigated in multivariable analysis. Results Of the 621 patients more than 18 years of age who underwent TPC with IPAA between January 2008 and December 2017, pouchoscopy data were available for 386 patients during a median follow-up period of 4 years. Acute pouchitis occurred in 205 patients (53%), 60 of whom (30%) progressed to chronic pouchitis. Cuffitis and Crohn's disease–like condition (CDLC) of the pouch occurred in 119 (30%) patients and 46 (12%) patients, respectively. In multivariable analysis, female sex was associated with a decreased risk of acute pouchitis, and pre-operative steroid use and medically refractory disease were associated with an increased risk; IBDU was associated with chronic pouchitis; rectal cuff length ≥2 cm and medically refractory disease were associated with cuffitis; age 45–54 at colectomy was associated with CDLC. Rates of pouch failure were similar in chronic pouchitis and CDLC patients treated with biologics and those who were not. Conclusions Inflammatory pouch conditions are common. Biologic use for chronic pouchitis and CDLC does not impact the rate of pouch failure.

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