Intraoperative Techniques for Gaining Ileoanal Pouch Reach

Abstract

Ileal pouch-anal anastomosis allows for reestablishing gastrointestinal continuity in patients after proctocolectomy. The technical elements of pouch creation and gaining reach into the pelvis are demanding and require a variety of surgical maneuvers to achieve a tension-free anastomosis. We present a brief review of the literature discussing various approaches aimed at improving ileal pouch reach into the low pelvis. Although these techniques are used with different frequencies, they serve as important adjuncts to the gastrointestinal surgeons' armamentarium.

Keywords

ileal pouch anal anastomosis/IPAA - J-pouch - mesenteric lengthening - pouch reach

Abbreviations

IPAA ileal pouch-anal anastomosis

BMI body mass index

FAP familial adenomatous polyposis

SMA superior mesenteric artery

Publikationsverlauf

Artikel online veröffentlicht:
02. November 2022

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