Conversion of failed ileal pouch-anal anastomosis to continent ileostomy.
OBJECTIVE
We report the results of converting 42 failed ileal pouch-anal anastomoses to a continent ileostomy (using the Barnett modification of the Kock pouch) performed in the course of 1,334 consecutive continent ostomy procedures.


METHODS
Results were obtained from a data registry that tracks long-term outcomes of consecutive continent ostomy procedures performed by 12 surgeons in five centers in the United States.


RESULTS
Forty of the 42 patients with failed ileal pouch-anal anastomoses have a functioning continent ostomy. Two patients have had pouch excision. Quality of life for the patients with ileal pouch-anal anastomoses as measured by the SF-36 index improved postoperatively. Long-term outcomes for the patients with ileal pouch-anal anastomoses were similar to those for the larger population of patients who underwent the continent ostomy procedure for other reasons.


CONCLUSIONS
Conversion of a failed ileal pouch-anal anastomosis to a continent ileostomy is a satisfactory alternative to the Brooke ileostomy in appropriate cases.
Behrens
D T
DT
Department of Surgery, Lutheran Medical Center, St. Louis, Missouri, USA.
Paris
M
M
Luttrell
J N
JN
D000328:Adult; D003424:Crohn Disease / Q000601:surgery; D005260:Female; D006801:Humans; D007081:Ileostomy; D008297:Male; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000601:surgery; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D011788:Quality of Life; D017211:Treatment Failure; D016896:Treatment Outcome