Publications by authors named "Nils K J Ecker"
Article Synopsis
- The study compares outcomes of two surgical approaches for patients with failed ileal pouch-anal anastomosis (IPAA): repair/redo-IPAA and conversion to a continent ileostomy (CI) to avoid permanent ileostomy.
- Results show that conversion to CI had a higher pouch salvage rate (36.8%) and better quality of life outcomes, like fewer daily evacuations and greater levels of continence compared to repair/redo-IPAA.
- Overall satisfaction was high among patients after both procedures,
A systematic description of continent ileostomy revision techniques.
Int J Colorectal Dis
December 2022
Purpose: Comprehensive description of surgical techniques for revision of complications of continent ileostomy (CI).
Methods: By analyzing 133 revision procedures performed over 30 years, a systematically classified approach to the appropriate techniques for CI revision surgery has been derived. Based on the anatomic site and severity of the respective complication, four classes of revision surgeries have been defined: class 1 refers to the nipple valve, class 2 to the pouch, class 3 to the stoma, and class 4 to the afferent loop.
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).
Purpose: The aim of the study was to investigate the underlying cause of long-term complications in patients requiring at least one revision surgery of a continent ileostomy (CI) and to analyze functional outcome.
Methods: Only patients with CI at least one revision were included in the retrospective data analysis. Four different classes of complications (Cl A-D) were defined: Cl A = Nipple valve (NV), Cl B = pouch, Cl C = outlet (stoma), and Cl D = afferent loop (AL).
Background: Continent ileostomy (CI) aims to provide control of gas and faecal evacuation; however, it is rarely performed. This paper reports on outcomes of CI in a large single-surgeon series.
Methods: All consecutive patients who underwent CI between 1986 and 2015 were reviewed.