The Noble plication: new indication for a historical procedure.
Complications following ileal pouch-anal anastomosis (IPAA) have been well-described in the literature. While rare, small bowel volvulus following IPAA has been described. We describe the successful use of the modified Noble plication in such a patient with small bowel volvulus about an elongated mesentery. This largely 'historical' technique is well-suited to manage small bowel volvulus, especially when non-resectional management is preferred.
Hochman
D J
DJ
Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA. davehochman@hotmail.com
Nivatvongs
S
S
Selvasekar
C R
CR
Tantitemit
T
T
D000368:Aged; D002908:Chronic Disease; D003093:Colitis, Ulcerative / Q000601:surgery; D039021:Colonic Pouches; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*