Clin Colon Rectal Surg 2010; 23(4): 239-247
DOI: 10.1055/s-0030-1268250
© Thieme Medical Publishers

Technical Aspects of Ileoanal Pouch Surgery in Patients with Ulcerative Colitis

Hasan T. Kirat1 , Feza H. Remzi1
  • 1Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio
Further Information

Publication History

Publication Date:
07 December 2010 (online)

ABSTRACT

Restorative proctocolectomy with ileal pouch-anal anastomosis is the procedure of choice for patients with ulcerative colitis requiring surgery. A J-pouch with a stapled anastomosis has been the preferred technique because it is quicker, safer, and associated with good functional outcomes. A diverting loop ileostomy is usually created at the time of ileal pouch-anal anastomosis. In patients with severe fulminant colitis or toxic megacolon, restorative proctocolectomy with ileal pouch-anal anastomosis is performed in multistages. The technical aspects of ileal pouch-anal anastomosis in patients with ulcerative colitis are reviewed in this article.

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Feza H RemziM.D. 

Department of Colorectal Surgery, A30

Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH 44195

Email: remzif@ccf.org