A new method for constructing an ileal J pouch without an enterotomy.
The conventional methods of making an ileal J pouch require an enterotomy to introduce a linear stapler. We devised a new surgical technique that removes any need for this enterotomy by using both circular and linear staplers. We applied this method to two patients who underwent a total colectomy for ulcerative colitis and succeeded in making a J pouch without difficulty. This procedure may represent an improved method of making a J pouch.
Takeyama
Hiromitsu
H
Department of Gastroenterological Surgery, Nagoya City University, Graduate School of Medical Sciences, Mizuhoku, Nagoya, Japan. takeyama@med.nagoya-cu.ac.jp
Akamo
Yoshimi
Y
Funahashi
Hitoshi
H
Sawai
Hirozumi
H
Sato
Mikinori
M
Yamamoto
Minoru
M
Manabe
Tadao
T
D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery; D039021:Colonic Pouches; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D013528:Surgical Staplers