How I do it: the stapled ileal J pouch at restorative proctocolectomy.

Abstract:

BACKGROUND:Ileal pouch-anal anastomosis (IPAA) following proctocolectomy is the preferred option for patients with medically refractory ulcerative colitis, indeterminate colitis, and familial adenomatous polyposis. However, it remains a procedure associated with morbidity and mortality. Pelvic sepsis, pouch fistulae, and anastomotic dehiscence predispose to pouch failure. We report our experience with an adaptation for the formation of the stapled ileal J pouch using the GIA™ 100 stapling device (Covidien, Mansfield, Massachusetts, USA). When creating the J pouch, we remove the bevelled plastic protector from the thin fork of the stapling device, allowing the staple line to be completed to the tip of the stapled efferent limb of the pouch, thereby minimizing potential blind ending in the efferent limb and injury to the transverse staple line. METHODS:Patients undergoing elective IPAA at our institution over a 5-year period using this adapted stapling technique for creation of the ileal J pouch were reviewed. Data were collected from a prospectively maintained inflammatory bowel disease database, theater records, and patient chart review. RESULTS:Forty-one patients underwent IPAA using this technique at our institution during the study period. Postoperative morbidity was encountered in 11 of 41 patients including pelvic sepsis, pouch fistulae, anastomotic stricture, or leak. There was no morbidity observed related to a blind efferent limb or transverse staple line disruption. No mortality was observed in this series. CONCLUSION:Maximizing the length of the efferent fork of the GIA stapling device can reduce the length of redundant efferent J limb of the ileal J pouch. This may reduce the incidence of torsion, volvulus, distension, fistulae/sinuses, and pelvic sepsis/anastomotic leak following IPAA.

journal_name

Tech Coloproctol

authors

Martin ST,Tevlin R,Heeney A,Peirce C,Hyland JM,Winter DC

doi

10.1007/s10151-011-0757-6

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

451-4

issue

4

eissn

1123-6337

issn

1128-045X

journal_volume

15

pub_type

杂志文章
  • Outcomes of sacral neuromodulation for chronic pelvic pain: a Finnish national multicenter study.

    abstract:BACKGROUND:The aim of this study was to report the outcomes of sacral neuromodulation (SNM) in chronic pelvic pain (CPP) patients in the Finnish national cohort. METHODS:This was a register-based retrospective study, involving all the centers that provide SNM treatment in Finland. The data of all patients treated with...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02148-2

    authors: Zegrea A,Kirss J,Pinta T,Rautio T,Varpe P,Kairaluoma M,Aho M,Böckelman C,Lavonius M

    更新日期:2020-03-01 00:00:00

  • Total rectal lumen obliteration after stapled haemorrhoidopexy: a cautionary tale.

    abstract::We describe obliteration of the rectal lumen during stapled haemorrhoidopexy in a patient with marked mucosal prolapse. The complication was recognised immediately and continuity was restored by performing a limited Delorme's procedure. The possible cause of this complication is explored and serves as a reminder that ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-007-0382-6

    authors: Brown S,Baraza W,Shorthouse A

    更新日期:2007-12-01 00:00:00

  • Perforated left-sided diverticulitis with faecal peritonitis: is the Hinchey classification the best guide for surgical decision making?

    abstract:BACKGROUND:Although the Hinchey scoring system has guided surgical decision making for perforated diverticulitis, what constitutes optimal surgical management is controversial. We report our experience of selective primary closure of the perforation without use of a transverse colostomy and the specific circumstances i...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0675-7

    authors: Naraynsingh V,Maharaj R,Hassranah D,Hariharan S,Dan D,Zbar AP

    更新日期:2011-06-01 00:00:00

  • Pudendal nerve block versus local anesthesia for harmonic scalpel hemorrhoidectomy: a prospective randomized study.

    abstract:BACKGROUND:This prospective randomized trial was used to compare two different local anesthetic techniques, local perianal anesthesia and pudendal nerve block, used for harmonic scalpel hemorrhoidectomy (HSH). METHODS:A total of 120 patients with grade III or IV hemorrhoids were randomly chosen to perform HSH (60 pati...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10151-010-0614-z

    authors: Tepetes K,Symeonidis D,Christodoulidis G,Spyridakis M,Hatzitheofilou K

    更新日期:2010-11-01 00:00:00

  • The trans-sphincteric posterior sagittal repair of recto-urinary and recto-vaginal fistulae using Surgisis™ mesh and fibrin sealant.

    abstract::Recto-urinary, recto-vaginal and ileo-anal pouch-associated fistulae are rare yet a significant clinical problem due to their profound impact on patients' quality of life and are a challenge to repair. In this report, we describe repair of these complex fistulae using a modified trans-sphincteric posterior sagittal ap...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0917-3

    authors: Borowiec AM,McCall M,Lees GM

    更新日期:2014-02-01 00:00:00

  • Rectovaginal septal repair: case presentations and introduction of a modified reconstruction technique.

    abstract::Rectovaginal fistula are a relatively rare kind of anorectal fistulas. Spontaneous healing is rare and the rectal advancement flap repair is the most popular procedure with success rates ranging between 60% and 80%. We present a new technique for repairing damage in the rectovaginal septum that consists of placing a f...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0088-y

    authors: Walfisch A,Zilberstein T,Walfisch S

    更新日期:2004-11-01 00:00:00

  • Small bowel adenocarcinoma in Crohn's disease: a rare but devastating complication.

    abstract:BACKGROUND:Small bowel adenocarcinoma (SBA) remains a rare entity but occurs at increased frequency in the setting of chronic Crohn's disease (CD). Our aim was to study the presentation, diagnosis and prognosis of SBA in patients undergoing surgery for CD at a single institution. METHODS:We reviewed the medical record...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02269-8

    authors: Hussain T,Jeganathan NA,Karagkounis G,Stocchi L,Shawki S,Holubar SD,Gordon I,Hull T,Liska D

    更新日期:2020-10-01 00:00:00

  • Tips and tricks: haemorrhoidectomy with LigaSure.

    abstract::Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Amongst these, LigaSure haemorrhoidectomy is a safe and fast technique that fulfils the requirements of low-complication rate, fast wound ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-009-0530-2

    authors: Milito G,Cadeddu F

    更新日期:2009-12-01 00:00:00

  • Emergency operation in carcinomas of the left colon: value of Hartmann's procedure.

    abstract:BACKGROUND:Colonic resection according to the procedure by Hartmann is considered a fast and safe surgical intervention, which has been used for years, in particular, in emergency situations. METHODS:Using data of a prospective multicentre study on the operative treatment of colorectal carcinoma over the time period f...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-004-0164-3

    authors: Meyer F,Marusch F,Koch A,Meyer L,Führer S,Köckerling F,Lippert H,Gastinger I,German Study Group \Colorectal Carcinoma (Primary Tumor)\.

    更新日期:2004-11-01 00:00:00

  • The place for colectomy and ileorectal anastomosis: a valid surgical option for ulcerative colitis?

    abstract:BACKGROUND:Conflicting views regarding the use of ileorectal anastomosis (IRA) in ulcerative colitis (UC) exist and this controversy prompted us to review our experience, especially against the background of the current tendency to choose the ileal pouch-anal procedure (IPAA). METHODS:Thirty-two consecutive patients w...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-006-0286-x

    authors: Börjesson L,Lundstam U,Oresland T,Brevinge H,Hultén L

    更新日期:2006-10-01 00:00:00

  • Carcinoid: modern aspects on its therapy.

    abstract::In the past two years two patients with carcinoid tumours have been operated in Chios General Hospital. These two cases gave rise to our review of the literature concerning the therapy and follow-up of colorectal carcinoid tumours. We demonstrate the differences among surgeons concerning the acceptable and relevant in...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-004-0145-6

    authors: Roumeliotis A,Barkas K,Amygdalos G

    更新日期:2004-11-01 00:00:00

  • Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy.

    abstract::Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0696-2

    authors: De Santis G,Gola P,Lancione L,Sista F,Pietroletti R,Leardi S

    更新日期:2012-08-01 00:00:00

  • Long-term outcomes of biological mesh repair following extra levator abdominoperineal excision of the rectum: an observational study of 100 patients.

    abstract:BACKGROUND:Current evidence suggests that pelvic floor reconstruction following extralevator abdominoperineal excision of rectum (ELAPER) may reduce the risk of perineal herniation of intra-abdominal contents. Options for reconstruction include mesh and myocutaneous flaps, for which long-term follow-up data is lacking....

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-02056-0

    authors: Thomas PW,Blackwell JEM,Herrod PJJ,Peacock O,Singh R,Williams JP,Hurst NG,Speake WJ,Bhalla A,Lund JN

    更新日期:2019-08-01 00:00:00

  • Importance of the Moskowitz artery in the laparoscopic medial approach to splenic flexure mobilization: a cadaveric study.

    abstract:BACKGROUND:The medial approach in laparoscopic splenic flexure mobilization is based on the entrance to the lesser sac just above the ventral edge of the pancreas (VEOP). The artery of Moskowitz runs through the base of the mesocolon, just above the VEOP. The aim of this study was to assess the incidence of the artery ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-017-1663-3

    authors: Garcia-Granero A,Sánchez-Guillén L,Carreño O,Sancho Muriel J,Alvarez Sarrado E,Fletcher Sanfeliu D,Flor Lorente B,Frasson M,Martinez Soriano F,Garcia-Granero E

    更新日期:2017-07-01 00:00:00

  • One-third of patients fail to return to work 1 year after surgery for colorectal cancer.

    abstract:BACKGROUND:Achieving full recovery after colorectal cancer surgery means a return to normal physical and psychological health and to a normal social life. Recovery data focusses on time to discharge rather than longer term functionality including return to work (RTW). We aim to assess return to normal holistic function...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1232-y

    authors: Bhalla A,Williams JP,Hurst NG,Speake WJ,Tierney GM,Tou S,Lund JN

    更新日期:2014-12-01 00:00:00

  • Pelvic fat volume reduction with preoperative very low energy diet (VLED): implications for rectal cancer surgery in the obese.

    abstract:BACKGROUND:Obese patients have higher complication rates after pelvic surgery. Laparoscopic rectal surgery may not be possible in the obese individual due to mesorectal, total pelvic and general visceral fat volumes. Very low energy diets reduce visceral fat but the changes within the pelvis and mesorectum are unknown....

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-02074-y

    authors: Bell S,Malouf P,Johnson N,Wale R,Peng Q,Nottle P,Warrier S

    更新日期:2019-09-01 00:00:00

  • Lymph road mapping obtained via blue sentinel node detection to avoid middle colic artery resection for highly selected colon cancer cases: proof of a concept?

    abstract:BACKGROUND:In theory, perioperative detection of lymph nodes with the injection of isosulfan blue dye should provide lymph road mapping (LRM) able to direct the resection. However, there is no supporting evidence for this theory in cases of colon cancer. We reanalysed all operative reports using the sentinel lymph node...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-010-0603-2

    authors: Lo Dico R,Lasser P,Goérè D,Malka D,Boige V,Pocard M

    更新日期:2010-09-01 00:00:00

  • Simple fistula-in-ano: is it all simple? A systematic review.

    abstract:BACKGROUND:Simple anal fistula is one of the most common causes of proctological surgery and fistulotomy is considered the gold standard. This procedure, however, may cause complications. The aim of this systematic review was to assess the surgical treatment of simple anal fistula with traditional and sphincter-sparing...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-020-02385-5

    authors: Litta F,Parello A,Ferri L,Torrecilla NO,Marra AA,Orefice R,De Simone V,Campennì P,Goglia M,Ratto C

    更新日期:2021-01-02 00:00:00

  • Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer.

    abstract::Our objective was to report of our first experience with transanal total mesorectal excision (TME) of rectal cancer using single-port equipment, a pure natural orifice transluminal endoscopic surgery (NOTES) procedure, and to discuss the advantages and disadvantages of the technique. A patient with rectal cancer was s...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0882-x

    authors: Zhang H,Zhang YS,Jin XW,Li MZ,Fan JS,Yang ZH

    更新日期:2013-02-01 00:00:00

  • Permacol™ collagen paste for cryptoglandular and Crohn's anal fistula.

    abstract:BACKGROUND:Permacol™ collagen paste, an acellular crosslinked porcine dermal collagen matrix suspension, is a new treatment option for anal fistula. Data remain limited, however, and as yet only the results of one case of Crohn's fistula treated with Permacol™ paste has been reported. The aim of this study was to asses...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-01932-z

    authors: Brunner M,Schneider I,Günther K,Grützmann R,Matzel KE

    更新日期:2019-02-01 00:00:00

  • Progression of anal intraepithelial neoplasia in HIV-positive individuals: predisposing factors.

    abstract:BACKGROUND:The aim of the present study was to evaluate patient factors that affect the progression of anal dysplasia in human immunodeficiency virus (HIV)-positive individuals. METHODS:A retrospective cohort study of HIV-positive adults with human papilloma virus related anal lesions was performed from 2012 to 2017. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-01951-w

    authors: McCutcheon T,Hawkins AT,Muldoon RL,Hopkins MB,Geiger TM,Ford MM

    更新日期:2019-04-01 00:00:00

  • A modified anoscope to facilitate the purse-string suture for stapled hemorrhoidopexy.

    abstract::Stapled hemorrhoidopexy is an alternative method to conventional surgical procedures for third-degree hemorrhoids. It has many advantages such as less pain, faster recovery and earlier return to work. Nevertheless, many reports mentioned the persistence of postoperative pain, hemorrhage, recurrence, sphincter injury, ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-005-0236-z

    authors: Bozdağ AD

    更新日期:2005-12-01 00:00:00

  • Five-year follow-up of Doppler-guided hemorrhoidal artery ligation.

    abstract:BACKGROUND:Doppler-guided hemorrhoidal artery ligation (DGHAL) was described as lower risk and a less painful alternative to hemorrhoidectomy. We report our experience and 5-year follow-up with this procedure. METHODS:Between May 2003 and December 2004, 100 patients with symptomatic Grade II or III hemorrhoids underwe...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0801-6

    authors: Avital S,Inbar R,Karin E,Greenberg R

    更新日期:2012-02-01 00:00:00

  • Poor outcome of sphincter repair: an evacuation problem?

    abstract:INTRODUCTION:Colorectal transport in idiopathic fecal incontinence has scarcely been studied, and it remains to be investigated in patients with fecal incontinence and anal sphincter lesion. The aim of the present study was to compare colorectal transport during defecation in patients with idiopathic fecal incontinence...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-010-0652-6

    authors: Michelsen HB,Christensen P,Buntzen S,Laurberg S,Krogh K

    更新日期:2011-03-01 00:00:00

  • Single incision laparoscopic total abdominal colectomy with ileorectal anastomosis for synchronous colon cancer.

    abstract::Single incision laparoscopy is currently performed mostly for basic laparoscopic procedures involving single abdominal quadrants. The aim of this case report is to show that single incision laparoscopic techniques can be utilized for complex abdominal laparoscopic procedures with a large target organ and a working spa...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-010-0589-9

    authors: Bardakcioglu O,Ahmed S

    更新日期:2010-09-01 00:00:00

  • Double heterozygosity for BRCA1 and hMLH1 gene mutations in a 46-year-old woman with five primary tumors.

    abstract::Germline mutations in BRCA1 and BRCA2 genes predispose to hereditary breast cancer, whereas carriers of mutations in any of the mismatch repair genes (MMR; hMLH1, hMSH2, hMSH6, hPMS2) are highly susceptible to Lynch syndrome. In the present study, we describe a woman affected by unilateral breast cancer at the age of ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1030-y

    authors: Pedroni M,Di Gregorio C,Cortesi L,Reggiani Bonetti L,Magnani G,Simone ML,Medici V,Priore Oliva C,Marino M,Ponz de Leon M

    更新日期:2014-03-01 00:00:00

  • Anal avulsion caused by abdominal crush injury.

    abstract::We report the case of a pelvic and lower abdomen crushing trauma in 37-year-old male patient. The patient had an open lumbar wound, laceration of the psoas muscle, pelvic fracture, a ruptured urogenital diaphragm, and extensive urogenital lacerations. An emergency laparotomy was performed with debridment, urethral rec...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0680-x

    authors: Terrosu G,Rossetto A,Kocjancic E,Rossitti P,Bresadola V

    更新日期:2011-12-01 00:00:00

  • Surgical site infection rates: open versus hand-assisted colorectal resections.

    abstract:PURPOSE:This study was performed to determine impact of open and hand-assisted colorectal resection on surgical site infection (SSI) rates. METHODS:National Surgical Quality Improvement Project data from 2006 to 2008 were supplemented with an institutional review board-approved chart review. Primary endpoint was SSI r...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1066-z

    authors: Bishawi M,Fakhoury M,Denoya PI,Stein S,Bergamaschi R

    更新日期:2014-04-01 00:00:00

  • Screening for colorectal cancer using a quantitative immunochemical faecal occult blood test: a feasibility study in an Asian population.

    abstract:BACKGROUND:The quantitative immunochemical faecal occult blood test (qFOBT) has been shown to be an accurate method of identifying significant colorectal neoplasia including cancer and advanced adenomas. This study reports the results of a Singapore population-based colorectal cancer screening event using the qFOBT. M...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-009-0515-1

    authors: Fu WP,Kam MH,Ling WM,Ong SF,Suzannah N,Eu KW

    更新日期:2009-09-01 00:00:00

  • Robotic versus laparoscopic surgery for rectal cancer: a comparative cost-effectiveness study.

    abstract:BACKGROUND:The differences between the costs of robotic rectal resection and of the laparoscopic approach are still not well known. The aim of this study was to evaluate the cost-effectiveness of robotic versus laparoscopic surgery. METHODS:We conducted an observational, comparative, prospective, non-randomized study ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02151-7

    authors: Quijano Y,Nuñez-Alfonsel J,Ielpo B,Ferri V,Caruso R,Durán H,Díaz E,Malavé L,Fabra I,Pinna E,Isernia R,Hidalgo Á,Vicente E

    更新日期:2020-03-01 00:00:00