Reoperative Transabdominal Surgery for Ileoanal Pouch Salvage

Restorative proctocolectomy with ileal pouch-anal anastomosis (RP/IPAA) is performed for surgical management of ulcerative colitis (UC) familial adenomatous polyposis (FAP), indeterminate colitis and an extremely selected subset of patients with Crohn's disease (CD). Around one/tenth of ileoanal pouches fail in longterm due to septic, mechanic, functional or biologic complications. Transanal, abdominal or combined approaches are safe and feasible to salvage ileoanal pouch. This chapter focuses on reoperative transabdominal surgery for ileoanal pouch salvage.
Source: Seminars in Colon and Rectal Surgery - Category: Gastroenterology Authors: Source Type: research