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- Title
The usefulness of the H-pouch configuration in salvage surgery for failed ileal pouches.
- Authors
Aydinli, H. H.; Peirce, C.; Aytac, E.; Remzi, F.
- Abstract
Aim Abdominal salvage surgery for a failed ileal pouch-anal anastomosis ( 5) is safe and feasible in experienced hands. When salvaging an ileal pouch or creating a new J, S or W pouch may not be feasible, construction of an H-pouch may be the final option. This study reports a single colorectal surgeon's experience on H-pouch anal anastomosis in patients referred with a failed ileal pouch. Method Patients undergoing transabdominal salvage surgery with H-pouch formation for a failed pouch from February 2012 to May 2016 were evaluated. Results Five patients were identified with a mean age of 46 (22-63) years. The pathological diagnosis was mucosal ulcerative colitis in all patients. Three patients had an initial traditional two-stage J-pouch creation and two patients had an initial three-stage approach. The median time to redo pouch surgery after the index IPAA creation was 99 (11-158) months. One patient required excision of the pouch and two patients had a complication within 30 days of surgery. Conclusion The H-pouch is a good alternative for a failed IPAA when another type of reservoir is not an option.
- Subjects
RESTORATIVE proctocolectomy; INFLAMMATORY bowel diseases; REOPERATION; PREOPERATIVE care; DAVIES, Lloyd
- Publication
Colorectal Disease, 2017, Vol 19, Issue 8, pe312
- ISSN
1462-8910
- Publication type
Article
- DOI
10.1111/codi.13788