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Clin Colon Rectal Surg 2003; 16(4): 277-280
DOI: 10.1055/s-2004-815621
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

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

Thomas E. Read
  • Division of Colon and Rectal Surgery, Department of Surgery, Western Pennsylvania Hospital, Clinical Campus of Temple University School of Medicine, Pittsburgh, Pennsylvania
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Publication History

Publication Date:
12 January 2004 (online)

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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

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