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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
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.
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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