Complications in children with ulcerative colitis undergoing ileal pouch-anal anastomosis

Total colectomy with ileal pouch-anal anastomosis (IPAA) is considered the standard procedure for the surgical management of ulcerative colitis. Despite the widespread utility of the procedure, as many as 75% of patients who undergo IPAA, experience at least 1 complication. This review highlights difficult intraoperative scenarios and complications of pouch surgery in children, including intra-operative, post-operative, and functional complications. Intra-operative scenarios include insufficient mesenteric length and positive leak tests.
Source: Seminars in Pediatric Surgery - Category: Pediatrics Authors: Source Type: research