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An ileo-anal pouch doing the twist (with video).
Clin Res Hepatol Gastroenterol
December 2024
Centre for Digestive Endoscopy, APHP, Saint Antoine Hospital, Sorbonne University, Paris, France. Electronic address:
A 37-year-old female patient had a past history of proctocolectomy for Crohn's disease, with ileal J-pouch-anal anastomosis. She was admitted for acute obstructive symptoms. CT scan revealed a 180 twisted ileo-anal anastomosis without signs of severe ischemia (Fig.
View Article and Find Full Text PDFIleoanal pouch salvage rates with endoluminal vacuum therapy for early vs late anastomotic leaks.
J Gastrointest Surg
December 2024
Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH, United States. Electronic address:
Background: Anastomotic leaks after ileal pouch-anal anastomosis (IPAA) significantly compromise patient outcomes and increase healthcare resource utilization. The aim of this study was to evaluate the outcomes of endoluminal vacuum therapy (EndoVac) for pouch leaks. We hypothesized that EndoVac for early compared with late leaks was associated with a higher pouch survival rate.
View Article and Find Full Text PDFNew therapeutic approach for anastomotic leaks after ileoanal J-pouch construction in patients with ulcerative colitis.
Gastrointest Endosc
January 2025
Department of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Transanal circumferential pouch advancement for treatment of pouch vaginal fistulae.
Tech Coloproctol
August 2024
Department of Colon and Rectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic Main Campus, 9500, Cleveland, OH, 44122, USA.
Background: Ileal pouch anal anastomosis (IPAA) circumferential pouch advancement (CPA) involves full-thickness transanal 180-360° dissection of the distal pouch, allowing the advancement of healthy bowel to cover the internal opening of a vaginal fistula. We aimed to describe the long-term outcomes of this rare procedure.
Methods: Patients with IPAA who underwent transanal pouch advancement for any indication between 2009 and 2021 were included.
Pouch Salvage of Long Rectal Cuff Syndrome: Excision of Retained Rectum and Mesorectum With Conversion to Ileoanal Anastomosis.
Inflamm Bowel Dis
December 2024
Department of Colon and Rectal Surgery, Cleveland Clinic, Cleveland, OH, USA.
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