title: The Noble plication: new indication for a historical procedure.
abstract: 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.
authors.affiliation: Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, USA. davehochman@hotmail.com
authors.forename: D J
authors.initials: DJ
authors.lastname: Hochman
authors.forename: S
authors.initials: S
authors.lastname: Nivatvongs
authors.forename: C R
authors.initials: CR
authors.lastname: Selvasekar
authors.forename: T
authors.initials: T
authors.lastname: Tantitemit
mesh_terms: 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*