Proctocolectomy and Ileal Pouch-Anal Anastomosis: The Double-Stapled Technique

ABSTRACT

Restorative proctocolectomy with ileal pouch-anal anastomosis is currently the preferred surgical treatment for most patients suffering from ulcerative colitis or familial adenomatous polyposis coli. The double-stapled technique of transection of the proximal anal canal and anastomosis has proven to be technically easier and to provide better functional outcomes than mucosectomy and hand-sewn pouch-anal anastomosis at the dentate line. Concerns regarding the development of rectal carcinoma or dysplasia in the cuff of retained rectal mucosa have not been realized.

KEYWORDS

Restorative proctocolectomy - ileal pouch-anal anastomosis - mucosectomy - double-stapled anastomosis - ileoanal pouch

REFERENCES

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