Publications by authors named "Alex Mui"
Purpose: A total proctocolectomy with subsequent creation of an ileal-pouch, such as a J-pouch or a Kock pouch, has been the most common surgery performed for ulcerative colitis (UC). A small portion of these patients will develop complications with the inflow limb into the pouch requiring operative intervention. The objective was to establish a better understanding as to the pathological mechanism by which these pouch inflow limb problems develop.
View Article and Find Full Text PDFHartmann's reversal: factors affecting complications and outcomes.
Int J Colorectal Dis
October 2020
Article Synopsis
- The study aimed to investigate complications arising from Hartmann's reversal surgery, which is often performed after procedures for serious conditions like infections or cancer.
- A retrospective analysis of 249 patients revealed that about 31.8% experienced major complications post-surgery, with notable factors contributing to these risks including higher ASA scores, liver disease, and BMI under 30.
- The findings indicate that many patients face significant risks during reversal, emphasizing the need for surgeons to consider these factors when making surgical decisions.
Background: The safety of undiverted restorative proctocolectomy (RPC) is debated. This study compares long-term outcomes after pouch leak in diverted and undiverted RPC patients.
Methods: Data were obtained from a prospectively maintained registry from a single surgical practice.
Background: Anastomotic complications related to tissue ischemia cause morbidity in gastrointestinal (GI) surgery. Surgeons' standard practice to predict bowel perfusion is inspection of mesenteric perfusion before anastomosing bowel ends. Augmenting this assessment with fluorescent imaging is under study.
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