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Clin Colon Rectal Surg 2022; 35(06): 445-452
DOI: 10.1055/s-0042-1758217
Review Article

The Benefits and Drawbacks of Staging Pelvic Pouches

Poppy Addison
1   Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, New York
,
Ajaratu O. Keshinro
2   Division of Colon and Rectal Surgery, University of Minnesota, Minneapolis, Minnesota
,
David M. Schwartzberg
3   Division of Colorectal Surgery and Inflammatory Bowel Disease, Department of Surgery, New York–Presbyterian/Columbia University Medical Center, New York, New York
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Abstract

Since the mid-20th century, physicians have searched for way to improve the lives of patients with ulcerative colitis (UC). Early attempts of curative resection left the patients with a permanent stoma with only primitive stoma appliances available. Gradually, stoma care improved and operations were devised to give the patient bowel continuity without the need for a permanent ostomy. As these operations were evolving, benefits and drawbacks related to fertility, ease of small bowel reach to the pelvis, and postoperative pelvic sepsis were observed. In this article, we will elucidate the various ways pelvic pouches are used to treat UC and the rationale for the timing of surgery as well as the evolution of stoma care.

Keywords

ileal pouch-anal anastomosis - staged pouches - infertility - Brooke ileostomy


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Artikel online veröffentlicht:
04. November 2022

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