We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Fluorescence angiography after vascular ligation to make the ileo-anal pouch reach.
- Authors
Joosten, J. J.; Reijntjes, M. A.; Slooter, M. D.; Duijvestein, M.; Buskens, C. J.; Bemelman, W. A.; Hompes, R.
- Abstract
The two most essential technical aspects of any gastrointestinal anastomosis are adequate perfusion and sufficient reach. For ileal pouch-anal anastomosis (IPAA), a trade-off exists between these two factors, as lengthening manoeuvers to avoid tension may require vascular ligation. In this technical note, we describe two cases in which we used indocyanine green (ICG) fluorescence angiography (FA) to assess perfusion of the pouch after vascular ligation to acquire sufficient reach. In both cases, FA allowed us to distinguish better between an arterial inflow problem and venous congestion than white light assessment. Both pouches remained viable and no anastomotic leakage occurred. Our results indicate that ICG FA is of great value after vascular ligation to obtain reach during IPAA.
- Subjects
FLUORESCENCE angiography; INDOCYANINE green; HYPEREMIA; PERFUSION
- Publication
Techniques in Coloproctology, 2021, Vol 25, Issue 7, p875
- ISSN
1123-6337
- Publication type
Article
- DOI
10.1007/s10151-021-02447-2