Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/5284
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dc.contributor.authorSaad, Melissa Kyriakosen_US
dc.contributor.authorFiani, Eliasen_US
dc.contributor.authorSaikaly, Eliasen_US
dc.date.accessioned2022-01-11T08:27:40Z-
dc.date.available2022-01-11T08:27:40Z-
dc.date.issued2021-
dc.identifier.issn22379363-
dc.identifier.urihttps://scholarhub.balamand.edu.lb/handle/uob/5284-
dc.description.abstractDescribed 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.en_US
dc.language.isoengen_US
dc.subjectPouch surgeryen_US
dc.subjectMesenteric lengtheningen_US
dc.titleMesenteric Lengthening in Pouch Surgery: Review of Surgical Techniquesen_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1055/s-0041-1736466-
dc.identifier.scopus2-s2.0-85121532000-
dc.identifier.urlhttps://api.elsevier.com/content/abstract/scopus_id/85121532000-
dc.contributor.affiliationFaculty of Medicineen_US
dc.description.volume41en_US
dc.description.issue4en_US
dc.description.startpage438en_US
dc.description.endpage442en_US
dc.date.catalogued2022-01-11-
dc.description.statusPublisheden_US
dc.identifier.openURLhttps://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0041-1736466.pdfen_US
dc.relation.ispartoftextJournal of Coloproctologyen_US
Appears in Collections:Faculty of Medicine
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