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Title: | Mesenteric Lengthening in Pouch Surgery: Review of Surgical Techniques | Authors: | Saad, Melissa Kyriakos Fiani, Elias Saikaly, Elias |
Affiliations: | Faculty of Medicine | Keywords: | Pouch surgery Mesenteric lengthening |
Issue Date: | 2021 | Part of: | Journal of Coloproctology | Volume: | 41 | Issue: | 4 | Start page: | 438 | End page: | 442 | Abstract: | Described for the first time in the medical literature in 1978 by Parks and Nicholls, total proctocolectomy with ileal-pouch anal anastomosis (IPAA) is nowadays the procedure of choice for patients with ulcerative colitis in whom the medical therapy has, a selected group of patients with Crohńs disease, and for patients with familial adenomatous polyposis. Despite the advances in medical treatment regarding inflammatory bowel disease, up to 30% of patients still require surgery, and restorative proctocolectomy and IPAA are the mainstay of the surgical treatment. It is considered a demanding and technically-challenging procedure, with the main challenge being the performance of a tension-free IPAA; the main reason for failure of the tension-free anastomosis is a shortened mesentery. With particular attention to detail, sufficient length can be achieved to enable a safe anastomosis in most patients. Herein, we describe the available techniques to lengthen the mesentery of the ileal pouch to perform an easy-to-reach tension-free anastomosis. |
URI: | https://scholarhub.balamand.edu.lb/handle/uob/5284 | ISSN: | 22379363 | DOI: | 10.1055/s-0041-1736466 | Open URL: | Link to full text | Type: | Journal Article |
Appears in Collections: | Faculty of Medicine |
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