Diagnosis and management of pouch outlet obstruction caused by common anatomical problems after restorative proctocolectomy

Diagnosis and management of pouch outlet obstruction caused by common anatomical problems after restorative proctocolectomy.

BACKGROUND AND AIMS Efferent limb syndrome (ELS) after S pouch and pouch-rectal anastomosis (PRA) after J pouch are common anatomical problems after restorative proctocolectomy that lead to pouch outlet obstruction. This study was aimed to evaluate the frequency, diagnosis and management of ELS and PRA. METHODS Consecutive patients diagnosed with ELS or PRA at our Pouch Center from 2002 to 20...

Factors affecting pouch-related outcomes after restorative proctocolectomy

PURPOSES Restorative proctocolectomy (RPC) with ileal pouch anal anastomosis (IPAA) is the procedure of choice for patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC) despite morbidities that can lead to pouch failure. We aimed to identify factors associated with pouch-related morbidities. METHODS A retrospective analysis of patients who underwent RPC with IPAA was ...

Restorative Proctocolectomy with Ileal Reservoir: Pouch Configuration and Volume

Restorative proctocolectomy with ileal reservoir has become an accepted form of treatment for ulcerative colitis and familial adenomatous polyposis. Five types of reservoirs have been developed: the S pouch, J pouch, H pouch, W pouch and K pouch. This paper reviews the differences in the clinical and functional outcomes among the various reservoir designs and their sizes. From the results of th...

Functional outcome and quality of life after restorative proctocolectomy and ileo-anal pouch anastomosis.

OBJECTIVE Reconstructive proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the surgical treatment of ulcerative colitis (UC) and familial adenomatous polyposis (FAP). The aim of our study was to evaluate the functional results of this procedure and to assess its impact upon patient quality of life (QoL). METHODS We evaluated QoL and functional results in patients who had undergone I...

Progress with the pouch--restorative proctocolectomy for ulcerative colitis.