The ileal pouch anal anastomosis: past, present, and future.
The modern era of ileal pouch anal anastomosis began just over 20 years ago. Several areas remain controversial, including patient selection, surgical technique, use of a temporary diverting ileostomy, aging sphincters, complications, and postoperative management. This article reviews current controversies concerning ileal pouch anal anastomoses and our approach to managing patients who undergo this complicated procedure.
Hocevar
B J
BJ
Enterostomal Therapy Nursing, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Remzi
F
F
D000367:Age Factors; D005544:Forecasting; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects / Q000379:methods / Q000451:nursing / Q000639:trends; D010535:Laparoscopy; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D016737:Proctocolectomy, Restorative / Q000009:adverse effects / Q000379:methods / Q000451:nursing / Q000639:trends