Stricture formation is a common complication after restorative proctocolectomy and Kock pouch surgery. Endoluminal functional lumen imaging probe (EndoFLIP) is a balloon catheter device that uses impedance planimetry to provide luminal pressure and dimension measurements. This case describes the first use of EndoFLIP to quantify the distensibility and diameter of a Kock pouch stricture before and after endoscopic balloon dilation and needle knife stricturotomy. EndoFLIP may be useful to more accurately define and quantify the technical success of endoscopic treatment of pouch strictures.
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http://dx.doi.org/10.14309/crj.0000000000001555 | DOI Listing |
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.
View Article and Find Full Text PDFTech Coloproctol
November 2024
Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland.
Background: Since the ileal pouch anal anastomosis (IPAA) was first described, anorectal manometry (ARM) has been used to study its physiology and function. Few studies have investigated if preoperative ARM can predict pouch function.
Methods: Pubmed, EMBASE, and the Cochrane Library databases were systematically searched.
ACG Case Rep J
November 2024
Center for Inflammatory Bowel Diseases and the Global Integrated Center for Colorectal Surgery and IBD Interventional Endoscopy, Columbia University Medical Center-New York Presbyterian Hospital, New York, NY.
Stricture formation is a common complication after restorative proctocolectomy and Kock pouch surgery. Endoluminal functional lumen imaging probe (EndoFLIP) is a balloon catheter device that uses impedance planimetry to provide luminal pressure and dimension measurements. This case describes the first use of EndoFLIP to quantify the distensibility and diameter of a Kock pouch stricture before and after endoscopic balloon dilation and needle knife stricturotomy.
View Article and Find Full Text PDFInt J Colorectal Dis
November 2024
Bowel Disease and Ileoanal Pouch Surgery Centre, Chelsea and Westminster Hospital, London, UK.
Background: The ileal pouch-anal anastomosis (IPAA) is a restorative procedure performed after proctocolectomy to improve quality of life in patients with colorectal conditions like ulcerative colitis, familial adenomatous polyposis, and selected cases of Crohn's disease and Lynch syndrome. However, severe pouch dysfunction can occur, often necessitating further surgical intervention.
Objective: This technical note aims to describe the operative approach and perioperative management for diverting ileostomy as a treatment for dysfunctional ileoanal pouches.
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