Revolution and evolution: 30 years of ileoanal pouch surgery.
Ileal pouch-anal anastomosis (IPAA) has become the standard of care for the 25% of patients with ulcerative colitis who ultimately require colectomy. IPAA is favored by patients because it avoids the necessity for a long-term stoma. This review examines how 3 decades of experience with IPAA has molded current practice, highlighting 5- and 10-year follow-up of large series to determine durability and functional performance, in addition to causes of failure and the management of complications.
Bach
Simon P
SP
Nuffield Department of Surgery, University of Oxford and the Department of Colorectal Surgery, John Radcliffe Hospital, Oxford, United Kingdom. simon.bach@nds.ox.ac.uk
Mortensen
Neil J M
NJ
D000222:Adaptation, Physiological; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D039021:Colonic Pouches / Q000592:standards / Q000639:trends*; D003424:Crohn Disease / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D005544:Forecasting; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D016737:Proctocolectomy, Restorative / Q000592:standards / Q000639:trends*; D011379:Prognosis; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013536:Suture Techniques; D013997:Time Factors