Ileal Pouch Salvage, Pouch Failure and Redo Surgery

Simillis, Constantinos; Faiz, Omar

doi:10.1007/978-3-319-94385-5_7

Cited by 2 publications

(3 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…32 Transvaginal repair advancement flaps may be used as alternative repair, with the benefit of direct access to the fistula without risk of sphincter damage. 69…”

Section: Surgical Salvage Strategies In Crohn's-like Ileal Pouch Illnessmentioning

confidence: 99%

Crohn's-like Ileal Pouch Illness and Ileal Pouch Salvage Strategies

Huang,

Abeshouse,

Lee

et al. 2024

Clin Colon Rectal Surg

View full text Add to dashboard Cite

De novo Crohn's disease (CD) of the pouch or Crohn's-like Ileal Pouch Illness (CLIPI) is an increasingly common occurrence in an ever-growing ileal pouch population. Although currently undetermined if a subset of classic CD or a completely new entity, it primarily affects the prepouch afferent limb, pouch, and rectal cuff. Symptoms can mimic other more common disorders, such as pouchitis, and requires a thorough workup, including pouchoscopy with biopsy and often cross-sectional imaging, for the diagnosis to be made. There is an increased risk of long-term pouch failure in this population. Treatment is typically dependent upon the disease phenotype with surgical management considered in a step-up fashion. Medical management is primarily performed with “biologics,” such as antitumor necrosis factor agents, although data are limited due to the lack of randomized controlled trials. Surgical management for CLIPI can include endoscopic, anorectal, and abdominal approaches to assist as “pouch-salvage strategies.” The performance of advanced pouch-salvage techniques in the CLIPI population requires careful patient selection and should preferably be performed at high-volume pouch centers.

show abstract

“…32 Transvaginal repair advancement flaps may be used as alternative repair, with the benefit of direct access to the fistula without risk of sphincter damage. 69…”

Section: Surgical Salvage Strategies In Crohn's-like Ileal Pouch Illnessmentioning

confidence: 99%

Crohn's-like Ileal Pouch Illness and Ileal Pouch Salvage Strategies

Huang,

Abeshouse,

Lee

et al. 2024

Clin Colon Rectal Surg

View full text Add to dashboard Cite

show abstract

“…8 29 Also, patient satisfaction rates after salvage surgery were reported at high levels, this may be related to the patients' contentment with maintaining their pouch and their strong motivation to avoid a permanent ileostomy. 31…”

Section: Outcomes Of Revisional Pouch Surgerymentioning

confidence: 99%

“…29 In addition, the rate of postoperative complications was higher in patients who had a septic indication for salvage surgery compared with those who had an outlet problem. 31…”

Section: Outcomes Of Revisional Pouch Surgerymentioning

confidence: 99%

Pelvic Pouch Failure: Treatment Options

Lynn

Brandstetter

Schwartzberg

2022

Clin Colon Rectal Surg

View full text Add to dashboard Cite

Up to 30% of patients with ulcerative colitis (UC) will require surgical management of their disease during their lifetime. An ileal pouch-anal anastomosis (IPAA) is the gold standard of care, giving patients the ability to be free from UC's bowel disease and avoid a permanent ostomy. Despite surgical advancements, a minority of patients will still experience pouch failure which can be debilitating and often require further surgical interventions. Signs and symptoms of pouch failure should be addressed with the appropriate workup and treatment plans formulated according with the patient's wishes. This article will discuss the identification, workup, and treatment options for pouch failure after IPAA.

show abstract

Ileal Pouch Salvage, Pouch Failure and Redo Surgery

Cited by 2 publications

References 60 publications

Crohn's-like Ileal Pouch Illness and Ileal Pouch Salvage Strategies

Crohn's-like Ileal Pouch Illness and Ileal Pouch Salvage Strategies

Pelvic Pouch Failure: Treatment Options

Contact Info

Product

Resources

About