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Clin Colon Rectal Surg 2022; 35(06): 458-462
DOI: 10.1055/s-0042-1758136
Review Article

Intraoperative Techniques for Gaining Ileoanal Pouch Reach

Marc M. Mankarious
1   Division of Colon and Rectal Surgery, Department of Surgery, Pennsylvania State University College of Medicine, Hershey, Pennsylvania
,
Michael J. Deutsch
1   Division of Colon and Rectal Surgery, Department of Surgery, Pennsylvania State University College of Medicine, Hershey, Pennsylvania
,
Nimalan A. Jeganathan
1   Division of Colon and Rectal Surgery, Department of Surgery, Pennsylvania State University College of Medicine, Hershey, Pennsylvania
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Abstract

Ileal pouch-anal anastomosis allows for reestablishing gastrointestinal continuity in patients after proctocolectomy. The technical elements of pouch creation and gaining reach into the pelvis are demanding and require a variety of surgical maneuvers to achieve a tension-free anastomosis. We present a brief review of the literature discussing various approaches aimed at improving ileal pouch reach into the low pelvis. Although these techniques are used with different frequencies, they serve as important adjuncts to the gastrointestinal surgeons' armamentarium.

Keywords

ileal pouch anal anastomosis/IPAA - J-pouch - mesenteric lengthening - pouch reach

Abbreviations

IPAA ileal pouch-anal anastomosis


BMI body mass index


FAP familial adenomatous polyposis


SMA superior mesenteric artery




Publication History

Article published online:
02 November 2022

© 2022. Thieme. All rights reserved.

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