title: Considerations and complications in patients undergoing ileal pouch anal anastomosis.
abstract: Total proctocolectomy with ileal pouch anal anastomosis (IPAA) preserves fecal continence as an alternative to permanent end ileostomy in select patients with ulcerative colitis and familial adenomatous polyposis. The procedure is technically demanding, and surgical complications may arise. This article outlines both the early and late complications that can occur after IPAA, as well as the workup and management of these potentially morbid conditions.
authors.affiliation: Department of Colon and Rectal Surgery, University of Rochester Medical Center, Rochester, NY 14642, USA. todd_francone@urmc.rochester.edu
authors.forename: Todd D
authors.initials: TD
authors.lastname: Francone
authors.forename: Brad
authors.initials: B
authors.lastname: Champagne
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D057868:Anastomotic Leak / Q000209:etiology; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches / Q000009:adverse effects; D005402:Fistula; D006470:Hemorrhage; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D008279:Magnetic Resonance Imaging; D019449:Pouchitis / Q000188:drug therapy; D016737:Proctocolectomy, Restorative; D011788:Quality of Life; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome