Mesenteric Lengthening in Pouch Surgery: Review of Surgical Techniques
| Autor: | Melissa Kyriakos Saad, Elias Fiani, Elias Saikaly |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Coloproctology, Vol 41, Iss 04, Pp 438-442 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2237-9363 2317-6423 0041-1736 |
| DOI: | 10.1055/s-0041-1736466 |
| Popis: | Described for the first time in the medical literature in 1978 by Parks and Nicholls, total proctocolectomy with ileal-pouch anal anastomosis (IPAA) is nowadays the procedure of choice for patients with ulcerative colitis in whom the medical therapy has, a selected group of patients with Crohńs disease, and for patients with familial adenomatous polyposis. Despite the advances in medical treatment regarding inflammatory bowel disease, up to 30% of patients still require surgery, and restorative proctocolectomy and IPAA are the mainstay of the surgical treatment. It is considered a demanding and technically-challenging procedure, with the main challenge being the performance of a tension-free IPAA; the main reason for failure of the tension-free anastomosis is a shortened mesentery. With particular attention to detail, sufficient length can be achieved to enable a safe anastomosis in most patients. Herein, we describe the available techniques to lengthen the mesentery of the ileal pouch to perform an easy-to-reach tension-free anastomosis. |
| Databáze: | Directory of Open Access Journals |
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