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Ileal pouch anal anastomosis

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https://www.readbyqxmd.com/read/28203173/squamous-cell-carcinoma-of-the-anal-transitional-zone-after-ileal-pouch-surgery-for-ulcerative-colitis-systematic-review-and-treatment-perspectives
#1
Gianluca Pellino, Christos Kontovounisios, Diana Tait, John Nicholls, Paris P Tekkis
BACKGROUND: Few cases of pouch-related cancers have been reported in ulcerative colitis (UC), and squamous cell carcinoma (SCC) is very rare. METHOD: A systematic review of the literature was performed to identify all unequivocal cases of pouch-related SCC in UC patients. RESULTS: Eight cases of SCC developing after ileal pouch-anal anastomosis (IPAA) have been observed since 1978. Two arose from the pouch mucosa and 6 from below. The pooled cumulative incidence of SCC is below 0...
January 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/28181378/sacral-nerve-stimulation-can-alleviate-symptoms-of-bowel-dysfunction-after-colorectal-resections
#2
Diane Mege, Guillaume Meurette, Veronique Vitton, Anne-Marie Leroi, Valerie Bridoux, Philippe Zerbib, Igor Sielezneff
BACKGROUND: Poor functional results, such as faecal incontinence (FI), low anterior resection syndrome (LARS) or high stool frequency can occur after colorectal resections; including proctocolectomy with ileal pouch-anal anastomosis (IPAA), rectal resection and left hemicolectomy. Management of these patients is an issue, and some case-reports have demonstrated the effectiveness of sacral nerve stimulation (SNS) in such situations. OUR AIM: was to analyse the effectiveness of SNS on poor functional results and on the quality of life, after different colorectal resections...
February 9, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28175184/p628-anti-tnf-therapy-in-refractory-pouchitis-and-crohn-s-disease-like-complications-of-the-pouch-after-ileal-pouch-anal-anastomosis-following-colectomy-for-ulcerative-colitis-a-systematic-review-and-meta-analysis
#3
M Huguet, B Pereira, M Goutte, F Goutorbe, C Allimant, M Reymond, G Bommelaer, A Buisson
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28174970/dop041-prepouch-ileitis-after-ileal-pouch-anal-anastomosis-for-ulcerative-colitis-patterns-of-presentation-and-risk-factors-for-failure-of-treatment
#4
M Rottoli, C Vallicelli, E Bigonzi, M Di Simone, P Gionchetti, L Boschi, G Poggioli
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172876/p524-long-term-outcomes-after-restorative-proctocolectomy-and-ileal-pouch-anal-anastomosis-in-children-compared-to-adults
#5
K Diederen, S Sahami, M Tabbers, M Benninga, A Kindermann, P Tanis, M Oomen, W Bemelman, J de Jong
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172851/p317-postoperative-complications-outcome-quality-of-life-and-self-image-after-ileal-pouch-anal-anastomosis-in-patients-operated-due-to-acute-severe-or-chronic-therapy-refractory-ulcerative-colitis
#6
A Balint, V Czinderi, M Szucs, M Rutka, K Farkas, Z Szepes, F Nagy, A Fábián, R Bor, A Milassin, G Lázár, T Molnár
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172797/p210-the-associations-of-optimism-social-support-and-coping-strategies-with-health-related-quality-of-life-in-a-cohort-of-patients-after-proctocolectomy-with-ileal-pouch-anal-anastomosis
#7
I Cohen, Y Benyamini, H Tulchinsky, I Dotan
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172606/dop042-omentectomy-is-not-necessary-during-laparoscopic-total-coloproctectomy-and-ileal-pouch-anal-anastomosis-for-inflammatory-bowel-disease-a%C3%A2-comparative-study-in-247-consecutive-patients-from-4-expert-centres
#8
D Mege, A Germain, M Stellingwerf, F Colombo, L Maggiori, A De Buck van Overstraeten, C Buskens, D Foschi, G Sampietro, W Bemelman, A D'Hoore, Y Panis
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172505/p372-the-long-term-course-of-patients-undergoing-ileal-pouch-anal-anastomosis-for-ulcerative-colitis
#9
F S Macaluso, F Rossi, A Orlando, C Sapienza, E Sinagra, S Maisano, C Angelo, S Renna, C Linea, L M Montalbano, M Giunta, G Solina, P Marchesa, M Ventimiglia, M Cottone
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28172464/op012-perioperative-use-of-vedolizumab-is-not-associated-with-short-term-postoperative-infectious-complications-in-patients-with-ulcerative-colitis-undergoing-procto-colectomy-with-ileal-pouch-anal-anastomosis
#10
M Ferrante, N Schils, A De Buck van Overstraeten, S Vermeire, G Van Assche, A Wolthuis, A D'Hoore
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28117363/increased-risk-of-gallstone-disease-following-colectomy-for-ulcerative-colitis
#11
Anders Mark-Christensen, Søren Brandsborg, Søren Laurberg, Niels Johansen, Jørn Helmut Pachler, Ole Thorlacius-Ussing, Mie Dilling Kjær, Niels Qvist, Louise Preisler, Jens Hillingsø, Jacob Rosenberg, Peter Jepsen
OBJECTIVES: Biochemical studies suggest that patients who have had a colectomy or restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) are at an increased risk of developing gallstone disease, but epidemiological studies are lacking. We evaluated the risk of gallstone disease following colectomy and IPAA. METHODS: Individuals who had a colectomy were identified from a national cohort of patients with ulcerative colitis (UC), and controls without colectomy were sampled from within the same cohort, matching on gender, calendar year, and year of birth...
January 24, 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28110377/sulfasalazine-in-prevention-of-pouchitis-after-proctocolectomy-with-ileal-pouch-anal-anastomosis-for-ulcerative-colitis
#12
Eleonora Scaioli, Alessandro Sartini, Elisa Liverani, Richard John Digby, Giampaolo Ugolini, Giancarlo Rosati, Gilberto Poggioli, Davide Festi, Franco Bazzoli, Andrea Belluzzi
BACKGROUND: Pouchitis is the most frequent complication after ileal pouch-anal anastomosis for refractory ulcerative colitis. A non-standardized preventative treatment exists. Sulfasalazine has proved effective in acute pouchitis therapy. AIMS: The aim of this study was to retrospectively evaluate the effect of sulfasalazine in primary prophylaxis of pouchitis after proctocolectomy with ileal pouch-anal anastomosis. METHODS: Data files of patients who underwent total proctocolectomy with ileal pouch-anal anastomosis for refractory ulcerative colitis and/or dysplasia from January 2007 to December 2014, with a follow-up until August 2015, were analyzed...
January 21, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28108437/pouch-pseudoaneurysm-a-rare-cause-of-recurrent-haemorrhage-following-ileal-pouch-anal-anastomosis
#13
Hunaid Hatimi, Saket Kumar, Abhijit Chandra, Vishal Gupta
Bleeding following restorative proctocolectomy for chronic ulcerative colitis is an uncommon complication. Usually bleeding occurs from the ileal pouch-anal anastomotic site in the early postoperative period. Significant pouch bleeding in the late postoperative course is rarely encountered. A mesenteric artery pseudoaneurysm along the ileal pouch staple line may be a cause of late-presenting massive per-rectal bleed. Although a rare phenomenon, it must be considered to be a differential in such a situation.
January 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28102092/survival-of-ileal-pouch-anal-anastomosis-constructed-after-colectomy-or-secondary-to-a-previous-ileorectal-anastomosis-in-ulcerative-colitis-patients-a-population-based-cohort-study
#14
Kalle Landerholm, Maie Abdalla, Pär Myrelid, Roland E Andersson
OBJECTIVES: Ileorectal anastomosis (IRA) affects bowel function, sexual function and reproduction less negatively than ileal pouch anal anastomosis (IPAA), the standard reconstruction after colectomy for ulcerative colitis (UC). In younger UC patients, IRA may have a role postponing pelvic surgery and IPAA. The aim of the present study was to investigate the survival of IPAA secondary to IRA compared to IPAA as primary reconstruction, as this has not previously been studied in UC. PATIENTS AND METHODS: All patients with UC diagnosis between 1960 and 2010 in Sweden were identified from the National Patient Registry...
January 19, 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/28035458/modified-martius-flap-procedure-for-refractory-ileal-pouch-vestibular-fistula-a-report-of-three-cases
#15
Toshimitsu Araki, Yoshiki Okita, Mikio Kawamura, Satoru Kondo, Yuji Toiyama, Junichiro Hiro, Shigeyuki Yoshiyama, Keiichi Uchida, Masato Kusunoki
PURPOSE: Pouch-vaginal or vestibular fistula is an uncommon, but devastating complication that occurs in women after ileal J pouch-anal anastomosis. The management of these fistulae is challenging, and it is associated with high recurrence and pouch loss rates. This report describes the use of the modified Martius flap procedure for three patients with ulcerative colitis who developed refractory pouch-vestibular fistulae. RESULTS: Three patients with ulcerative colitis, who underwent total colectomy, mucosal proctectomy, and ileal pouch-anal anastomosis, developed pouch-vestibular fistulae...
December 29, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28013111/risk-of-rectal-cancer-after-colectomy-for-patients-with-ulcerative-colitis-a-national-cohort-study
#16
Maie Abdalla, Kalle Landerholm, Peter Andersson, Roland E Andersson, Pär Myrelid
BACKGROUND & AIMS: Patients with ulcerative colitis (UC) have an increased risk of rectal cancer, so reconstruction with an ileal pouch anal anastomosis (IPAA) is generally preferred to an ileo-rectal anastomosis (IRA) after subtotal colectomy. Similarly, completion proctectomy is recommended for patients with ileostomy and diverted rectum, although this approach has been questioned because anti-inflammatory agents might reduce cancer risk. We performed a national cohort study in Sweden to assess the risk of rectal cancer in patients with UC who have an IRA, IPAA, or diverted rectum after subtotal colectomy...
December 21, 2016: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28008631/systematic-review-with-meta-analysis-the-management-of-chronic-refractory-pouchitis-with-an-evidence-based-treatment-algorithm
#17
REVIEW
J P Segal, N S Ding, G Worley, S Mclaughlin, S Preston, O D Faiz, S K Clark, A L Hart
BACKGROUND: Restorative proctocolectomy with ileal pouch anal anastomosis (IPAA) is considered the procedure of choice in patients with ulcerative colitis (UC) refractory to medical therapy. The incidence of pouchitis is 40% at 5 years. Ten to 15% of patients with pouchitis experience chronic pouchitis. AIM: To determine the efficacy of medical therapies for the treatment of chronic refractory pouchitis in patients undergoing IPAA for UC. METHODS: A systematic computer-assisted search of the on-line bibliographic database MEDLINE and EMBASE was performed between 1966 and February 2016...
December 23, 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27996184/anastomotic-stenosis-after-coloanal-colorectal-and-ileoanal-anastomosis-what-is-the-best-management
#18
A Kraenzler, L Maggiori, O Pittet, M S Alyami, J Prost À la Denise, Y Panis
AIM: To assess the results of treatment for colorectal (CRA), coloanal (CAA) or ileal pouch-anal (IPAA) anastomotic stenosis (AS). METHOD: All patients operated on for AS from 1995 to 2014 were included. Success was defined as the absence of an additional surgical procedure for AS during 12 months after the last procedure and the absence of a stoma at the end of follow-up. RESULTS: Fifty consecutive patients presenting with AS after CRA (n = 16, 32%), CAA (n = 18, 36%) or IPAA (n = 16, 32%), performed for colorectal cancer (n = 28, 56%), familial adenomatous polyposis (n = 5, 10%), inflammatory bowel disease (n = 8, 16%), diverticulitis (n = 4, 8%), benign colorectal neoplasia (n = 3, 6%) or other (n = 2, 4%) underwent a total of 99 procedures including digital (n = 14, 14%), instrumental (n = 38, 38%) or endoscopic dilatation (n = 5, 5%), transanal AS stricturoplasty (n = 9, 10%), transanal circular stapler resection (n = 11, 11%) or transabdominal redo-anastomosis (n = 22, 22%)...
February 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27989362/complications-in-colorectal-surgery
#19
Jason S Frischer, Beth Rymeski
Colorectal pediatric surgery is a diverse field that encompasses many different procedures. The pullthrough for Hirschsprung disease, the posterior sagittal anorectoplasty for anorectal malformations including complex cloaca reconstructions and the ileal pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis present some of the most technically challenging procedures pediatric surgeons undertake. Many children prevail successfully following these surgical interventions, however, a small number of patients suffer from complications following these procedures...
December 2016: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/27988458/tripterygium-wilfordii-polyglycosidium-ameliorates-pouchitis-induced-by-dextran-sulfate-sodium-in-rats
#20
Senyang Gao, Xiaoyan Wu, Yingying Zhang, Kaiyu Li, Litian Wang, Gang Liu
BACKGROUND: The aim of this study was to investigate the therapeutic effects of Tripterygium wilfordii polyglycosidium (TWP) to rats with dextran sulfate sodium (DSS)-induced pouchitis and its possible mechanism. METHODS: Sprague-Dawley rats underwent surgery of ileal pouch anal anastomosis (IPAA) and pouchitis was induced by DSS. Rats were randomly divided into no intervention (NI), normal saline (NS) and TWP groups. Rats were lavaged with normal saline (3ml/day in NS group) or TWP (12mg/kg/day in TWP group) for 7days...
February 2017: International Immunopharmacology
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