The ileoanal J pouch: radiographic evaluation.
Endorectal ileoanal pull-through offers an attractive alternative to proctocolectomy and ileostomy for patients with ulcerative colitis, Gardner syndrome, and familial polyposis. To our knowledge, a careful radiographic analysis of the ileum, ileal pouch, and ileoanal anastomosis after ileoanal pull-through has not been reported. Thirty-two patients with ulcerative colitis, Gardner syndrome, and familial polyposis underwent colectomy, mucosal proctectomy, and endorectal ileoanal pull-through of a 15-cm ileal "J" pouch and loop ileostomy. Twenty-five (78%) of 32 of all the pouches radiographically demonstrated spiral folds extending from the middle of the pouch to the pectinate line. Other radiographic features included a mesenteric mass effect, pseudopolyps, and a central lucency that indicated intrapouch sutures. Radiographs provide useful information in the postoperative management of the ileal pull-through.
D000328:Adult; D001003:Anal Canal / Q000000981:diagnostic imaging / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery*; D007417:Intestinal Polyps / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D008297:Male; D011859:Radiography