Comparing continent ileostomy (CI) conversion to repair/redo IPAA: favorable outcomes.

Purpose: This study aims to compare the outcomes of repair/redo ileal pouch-anal anastomosis (repair/redo-IPAA) with the conversion of IPAA to continent ileostomy (CI) in an effort to prevent the need for a permanent ileostomy (IS) following IPAA failure.

Methods: This research involved a retrospective analysis of surgical records, employing descriptive statistics and Kaplan-Meier survival analysis.

Results: Among 57 patients with an IPAA, up to three revisions were necessary due to complications or complete failure.

Conversion of ileo-pouch anal anastomosis to continent ileostomy: strategic surgical considerations and outcome.

Aim: The aim was to evaluate surgical strategies for conversion of failed ileo-pouch anal anastomosis (IPAA) to continent ileostomy (CI), taking morbidity and overall outcome into account. The hypothesis was that complex conversions are equivalent to the primary construction of a CI at the time of proctocolectomy.

Method: This was a retrospective analysis of IPAA conversions acknowledging the underlying disease (inflammatory bowel disease [IBD] and non-IBD) and extent of pouch reconstruction (PR): type 1 (without PR), type 2 (partial PR), and type 3 (complete PR).