Operative, long-term and quality of life outcomes after salvage of failed re-do ileal pouch anal anastomosis

Article Surgery

Indications, functional and quality of life outcomes of new pouch creation during re-do ileal pouch anal anastomosis: A comparative study with existing pouch salvage

Eren Esen et al.

Summary: New pouch creation can be safely performed during re-do ileal pouch anal anastomosis, providing acceptable functional and quality of life outcomes if salvage of the existing pouch is not feasible.

SURGERY (2022)

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Review Radiology, Nuclear Medicine & Medical Imaging

Reporting Templates for MRI and Water-Soluble Contrast Enema in Patients With Ileal Pouch-Anal Anastomosis: Experience From a Large Referral Center

Chenchan Huang et al.

Summary: Ileal pouch-anal anastomosis (IPAA) surgery is the standard treatment for ulcerative colitis and familial adenomatous polyposis, but is associated with various complications. This article proposes structured reporting templates for imaging evaluation of pouch dysfunction post IPAA surgery, emphasizing a systematic search approach.

AMERICAN JOURNAL OF ROENTGENOLOGY (2021)

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Review Gastroenterology & Hepatology

Revisional ileoanal pouch surgery: a systematic literature review assessing outcomes over the last 40 years

Holly Carpenter et al.

Summary: This paper reviewed literature on revision surgery for primary ileal pouch-anal anastomosis (IPAA) and found that although bowel motion frequency improved after revision surgery, outcomes were still inferior compared to primary IPAA patients. Risk factors for pouch failure included pelvic sepsis after primary IPAA and a final diagnosis of Crohn's disease.

COLORECTAL DISEASE (2021)

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Article Gastroenterology & Hepatology

Handsewn Versus Stapled IPAA in Redo Setting: Indications, Patient Characteristics, Operative, Functional, and Quality-of-Life Outcomes

Eren Esen et al.

Summary: The impact of the type of anastomosis on redo IPAA outcomes remains unclear. This retrospective study compared stapled vs handsewn redo IPAA in terms of indications, perioperative outcomes, and functional outcomes, finding no significant differences in postoperative morbidity, functional outcomes, and quality-of-life scores between the two groups. Nighttime seepage was similar between stapled and handsewn anastomoses, but daytime seepage was more common after handsewn anastomosis.

DISEASES OF THE COLON & RECTUM (2021)

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Article Surgery

Ileoanal Pouch: Pelvic Sepsis and Poor Function-Now What?

Eren Esen et al.

Summary: Pelvic sepsis is a serious complication after ileal pouch creation, which can lead to poor functional outcomes even under the best circumstances. Chronic pelvic sepsis may result in pouch failure, and redo IPAA is a viable option to preserve gastrointestinal continuity in motivated patients. Patients with ileal pouch failure should seek treatment at specialized high-volume centers for best results.

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES (2021)

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Article Gastroenterology & Hepatology