Congenital pouch colon (CPC) is an unusual abnormality in which the colon ends in a pouch-like dilatation and there is generally an associated anorectal malformation. The condition varies from complete absence of normal colon to a nearly normal length of proximal colon with only recto-sigmoid involvement. There is a paucity of data on histological findings in cases of pouch colon. Resected specimens of five cases of CPC were taken. Microscopic sections were stained for H&E and Masson's trichrome stains. We present here an interesting histological finding, namely an unusual muscle layer, inner to the circular muscle layer, in five cases of complete or almost complete CPC and discuss the clinical significance of this finding.
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http://dx.doi.org/10.1007/s00383-009-2330-1 | DOI Listing |
Transl Androl Urol
November 2024
Division of Urology, Department of Surgery, University of Utah, Salt Lake City, UT, USA.
Background: There is limited data within the urologic literature regarding bowel complications and leak rates following surgery requiring ileocolic anastomoses such as right colon pouch (RCP) and continent cutaneous ileocecocystoplasty (CCIC). We aimed to establish ileocolic anastomotic leak rates in urologic reconstructive surgery and determine bowel-related complications following RCP and CCIC surgeries.
Methods: We reviewed adult patients who underwent RCP or CCIC (2010-2022), investigating patient characteristics, perioperative variables, and outcomes.
Inflamm Bowel Dis
December 2024
Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Background: Pouchitis is the most common complication of restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) in patients with ulcerative colitis (UC). We previously reported the presence of anti-integrin αvβ6 antibodies in the serum of patients with UC. This study investigated the association between anti-integrin αvβ6 antibodies and the development of pouchitis in patients with UC.
View Article and Find Full Text PDFGut Liver
December 2024
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Background/aims: The study investigated the incidence, risk factors, and clinical outcomes of chronic antibiotic-refractory pouchitis (CARP) in Korean patients with ulcerative colitis (UC).
Methods: This single-center retrospective study included patients with UC who underwent total proctocolectomy with ileal pouch-anal anastomosis at the Asan Medical Center in Korea between January 1987 and December 2022. The primary outcomes were endoscopic remission and pouch failure.
Br J Nurs
December 2024
Nurse Practitioner, Pouch and Stoma Care, TWINS for iPouch & Stoma Patients Ltd.
COVID-19 symptoms are often perceived as respiratory only. However, recent findings have shown that gastrointestinal symptoms are being reported in a significant number of patients, ranging from 17% to more than 50%, with some studies speculating that the figure may be even higher, but that it is under-reported and overlooked. Therefore, a hypothesis was put forward that gastrointestinal symptoms related to COVID-19 may make pouch or stoma function deteriorate or even mimic pouchitis symptoms in ileoanal pouches and gastroenteritis in stoma patients; the intention was to investigate this further and to test the hypothesis.
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