Ileoanal Pouches - Is Mucosectomy Unecessary?

Intraoperative, postoperative and reoperative problems with ileoanal pouches.

BACKGROUND Proctocolectomy with ileal pouch-anal anastomosis (IPAA) has been developed and refined since its introduction in the late 1970s. Nonetheless, it is a procedure associated with significant morbidity. The aim of this review was to provide a structured approach to the challenges that surgeons and physicians encounter in the management of intraoperative, postoperative and reoperative pr...

Ileoanal Anastomosis after Proctocolectomy

Petrophysical Characterization of Permian Shallow-Water Dolostone

The complex interplay between depositional facies and diagenesis in dolostones presents numerous challenges for calculating petrophysical properties from wireline logs. Complex pore geometries and mineralogies control rock petrophysical properties, and equations for calculating porosities and saturations must therefore be tailored to specific pore geometry-mineralogy combinations. The complex m...

Determinants of ileoanal pouch function.

Ablative mucosectomy is the procedure of choice to prevent Barrett's cancer.

OPENING ARGUMENT Stark strategies face patient and clinician in the presence of a degenerating dysplastic Barrett’s mucosa. Surgical removal offers an overaggressive flawed approach reminiscent of the politics of “Total War” (Karl Von Clausewitz 1780–1831: “Vom Kriege”). Decisive action assures eradication but without definitive knowledge of the threat and incurring extensive collateral damage....