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Clin Colon Rectal Surg 2021; 34(06): 417-425
DOI: 10.1055/s-0041-1735274
Review Article

Anastomotic Leak after Ileal Pouch–Anal Anastomosis

Kristina Guyton
1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
,
David Kearney
1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
,
Stefan D. Holubar
1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
› Author Affiliations Funding None.
› Further Information
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Abstract

There are special considerations when treating anastomotic leak after restorative proctocolectomy and ileal pouch–anal anastomosis. The epidemiology, risk factors, anatomic considerations, diagnosis and management, as well as the short- and long-term consequences to the patient are unique to this patent population. Additionally, there are specific concerns such as “tip of the J” leaks, transanal management of anastomotic leak/presacral sinus, functional outcomes after leak, and considerations of redo pouch procedures.

Keywords

ulcerative colitis - Crohn's colitis - familial adenomatous polyposis - ileoanal pouch - AL - surgery - complications

Disclosures

SDH: consultant fees, Shionogi, Takeda, Guidepoint.




Publication History

Article published online:
23 November 2021

© 2021. Thieme. All rights reserved.

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