The ileoanal pouch procedure in the long-term perspective: a critical review
| Autor: | Leif Hultén, Gianluca Colucci, M. Scaglia, G G Delaini |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Reoperation medicine.medical_specialty medicine.medical_treatment Anal Canal Colonic Pouches Anastomosis Pouchitis Risk Assessment Familial adenomatous polyposis Postoperative Complications Quality of life medicine Fecal incontinence Humans Surgical Wound Infection business.industry Proctocolectomy General surgery Gold standard Anastomosis Surgical Proctocolectomy Restorative Gastroenterology medicine.disease Prognosis Survival Analysis Colorectal surgery Surgery Sex life Quality of Life Female medicine.symptom Neoplasm Recurrence Local business Colorectal Neoplasms Fecal Incontinence |
| Zdroj: | Techniques in coloproctology. 9(3) |
| ISSN: | 1123-6337 |
| Popis: | An ileo-pouch anal anastomosis (IPAA) has become the gold standard procedure for ulcerative colitis and familial adenomatous polyposis. Clinical results on the pelvic pouch procedure have often been encouraging; when confronted with the different surgical options, the majority of patients select IPAA as the best operation. However, even if IPAA is a great innovation, it is by no means the first choice for all patients. For patients old enough to join in a responsible discussion, the pros and cons of the various operations must be carefully described; the choice of surgical procedure must meet the patient's wishes and appear soundly based to the surgeon. The young age of most patients has to be considered and a long follow-up time is required to establish whether and, if so, to what extent the operation may adversely impact the patient's continence, sex life, fertility, and quality of life. The risk of cancer transformation in the residual rectal mucosa in the muscular or columnar cuff is another important factor that may influence the eventual decision. This article critically reviews our experience and the literature. |
| Databáze: | OpenAIRE |
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