Ileal pouch-anal anastomosis: Points of controversy
Summary Restorative proctocolectomy with ileal pouch-anal anastomosis has become the most commonly used procedure for elective treatment of patients with ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in order to obtain optimal...
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| Veröffentlicht in: | Journal of visceral surgery 2014-09, Vol.151 (4), p.281-288 |
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| creator | Trigui, A Frikha, F Rejab, H Ben Ameur, H Triki, H Ben Amar, M Mzali, R |
| description | Summary Restorative proctocolectomy with ileal pouch-anal anastomosis has become the most commonly used procedure for elective treatment of patients with ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in order to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. In this review of the literature of restorative proctocolectomy with ileal pouch-anal anastomosis, we discuss these technical modifications, limiting our discussion to the current points of controversy. The current “hot topics” for debate are: indications for ileal pouch-anal or ileo-rectal anastomosis, indications for pouch surgery in the elderly, indeterminate colitis and Crohn's disease, the place of the laparoscopic approach, transanal mucosectomy with hand-sewn anastomosis vs. the double-stapled technique, the use of diverting ileostomy and the issue of the best route for delivery of pregnant women. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with ongoing prospective evaluation of the procedure are required to settle these issues. |
| doi_str_mv | 10.1016/j.jviscsurg.2014.05.004 |
| format | Article |
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Since its original description, the procedure has been modified in order to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. In this review of the literature of restorative proctocolectomy with ileal pouch-anal anastomosis, we discuss these technical modifications, limiting our discussion to the current points of controversy. The current “hot topics” for debate are: indications for ileal pouch-anal or ileo-rectal anastomosis, indications for pouch surgery in the elderly, indeterminate colitis and Crohn's disease, the place of the laparoscopic approach, transanal mucosectomy with hand-sewn anastomosis vs. the double-stapled technique, the use of diverting ileostomy and the issue of the best route for delivery of pregnant women. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with ongoing prospective evaluation of the procedure are required to settle these issues.</description><identifier>ISSN: 1878-7886</identifier><identifier>EISSN: 1878-7886</identifier><identifier>DOI: 10.1016/j.jviscsurg.2014.05.004</identifier><identifier>PMID: 24999229</identifier><language>eng</language><publisher>France</publisher><subject>Adenomatous Polyposis Coli - diagnosis ; Adenomatous Polyposis Coli - surgery ; Aged ; Anal Canal - surgery ; Anastomosis, Surgical - methods ; Colitis, Ulcerative - diagnosis ; Colitis, Ulcerative - surgery ; Colonic Pouches ; Elective Surgical Procedures - adverse effects ; Elective Surgical Procedures - methods ; Female ; Humans ; Ileum - surgery ; Male ; Patient Selection ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Pregnancy ; Proctocolectomy, Restorative - adverse effects ; Proctocolectomy, Restorative - methods ; Prognosis ; Quality Control ; Risk Assessment ; Surgery ; Surgical Stapling - methods ; Treatment Outcome</subject><ispartof>Journal of visceral surgery, 2014-09, Vol.151 (4), p.281-288</ispartof><rights>Copyright © 2014. Published by Elsevier Masson SAS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c298t-82a286433f8627978244e05b189624b88df52ad8ecb052a33b36c95de15b43a83</citedby><cites>FETCH-LOGICAL-c298t-82a286433f8627978244e05b189624b88df52ad8ecb052a33b36c95de15b43a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24999229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trigui, A</creatorcontrib><creatorcontrib>Frikha, F</creatorcontrib><creatorcontrib>Rejab, H</creatorcontrib><creatorcontrib>Ben Ameur, H</creatorcontrib><creatorcontrib>Triki, H</creatorcontrib><creatorcontrib>Ben Amar, M</creatorcontrib><creatorcontrib>Mzali, R</creatorcontrib><title>Ileal pouch-anal anastomosis: Points of controversy</title><title>Journal of visceral surgery</title><addtitle>J Visc Surg</addtitle><description>Summary Restorative proctocolectomy with ileal pouch-anal anastomosis has become the most commonly used procedure for elective treatment of patients with ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in order to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. In this review of the literature of restorative proctocolectomy with ileal pouch-anal anastomosis, we discuss these technical modifications, limiting our discussion to the current points of controversy. The current “hot topics” for debate are: indications for ileal pouch-anal or ileo-rectal anastomosis, indications for pouch surgery in the elderly, indeterminate colitis and Crohn's disease, the place of the laparoscopic approach, transanal mucosectomy with hand-sewn anastomosis vs. the double-stapled technique, the use of diverting ileostomy and the issue of the best route for delivery of pregnant women. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with ongoing prospective evaluation of the procedure are required to settle these issues.</description><subject>Adenomatous Polyposis Coli - diagnosis</subject><subject>Adenomatous Polyposis Coli - surgery</subject><subject>Aged</subject><subject>Anal Canal - surgery</subject><subject>Anastomosis, Surgical - methods</subject><subject>Colitis, Ulcerative - diagnosis</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Colonic Pouches</subject><subject>Elective Surgical Procedures - adverse effects</subject><subject>Elective Surgical Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Ileum - surgery</subject><subject>Male</subject><subject>Patient Selection</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Pregnancy</subject><subject>Proctocolectomy, Restorative - adverse effects</subject><subject>Proctocolectomy, Restorative - methods</subject><subject>Prognosis</subject><subject>Quality Control</subject><subject>Risk Assessment</subject><subject>Surgery</subject><subject>Surgical Stapling - methods</subject><subject>Treatment Outcome</subject><issn>1878-7886</issn><issn>1878-7886</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkMtOwzAQRS0EolXpL0CWbBL8SjJmgYQqHpUqgQSsLcdxICGNi51U6t_jqKViFjN3ced1ELoiOCGYZDdN0mxrr_3gPhOKCU9wmmDMT9CUQA5xDpCd_tMTNPe-wSEYwxjEOZpQLoSgVEwRW7ZGtdHGDvorVl2QIfnerq2v_W30auuu95GtIm273tmtcX53gc4q1XozP9QZ-nh8eF88x6uXp-XifhVrKqCPgSoKGWesgozmIgfKucFpQUBklBcAZZVSVYLRBQ6CsYJlWqSlIWnBmQI2Q9f7uRtnfwbje7kOb5u2VZ2xg5ckDXM4EUCCNd9btbPeO1PJjavXyu0kwXKEJht5hCZHaBKnMkALnZeHJUOxNuWx7w9RMNztDSa8uq2Nk7qtu1qr9tvsjG_s4AK2cI30VGL5NnIfsRMeiOcY2C-3sX7i</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Trigui, A</creator><creator>Frikha, F</creator><creator>Rejab, H</creator><creator>Ben Ameur, H</creator><creator>Triki, H</creator><creator>Ben Amar, M</creator><creator>Mzali, R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Ileal pouch-anal anastomosis: Points of controversy</title><author>Trigui, A ; Frikha, F ; Rejab, H ; Ben Ameur, H ; Triki, H ; Ben Amar, M ; Mzali, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-82a286433f8627978244e05b189624b88df52ad8ecb052a33b36c95de15b43a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adenomatous Polyposis Coli - diagnosis</topic><topic>Adenomatous Polyposis Coli - surgery</topic><topic>Aged</topic><topic>Anal Canal - surgery</topic><topic>Anastomosis, Surgical - methods</topic><topic>Colitis, Ulcerative - diagnosis</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Colonic Pouches</topic><topic>Elective Surgical Procedures - adverse effects</topic><topic>Elective Surgical Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Ileum - surgery</topic><topic>Male</topic><topic>Patient Selection</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Pregnancy</topic><topic>Proctocolectomy, Restorative - adverse effects</topic><topic>Proctocolectomy, Restorative - methods</topic><topic>Prognosis</topic><topic>Quality Control</topic><topic>Risk Assessment</topic><topic>Surgery</topic><topic>Surgical Stapling - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trigui, A</creatorcontrib><creatorcontrib>Frikha, F</creatorcontrib><creatorcontrib>Rejab, H</creatorcontrib><creatorcontrib>Ben Ameur, H</creatorcontrib><creatorcontrib>Triki, H</creatorcontrib><creatorcontrib>Ben Amar, M</creatorcontrib><creatorcontrib>Mzali, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of visceral surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trigui, A</au><au>Frikha, F</au><au>Rejab, H</au><au>Ben Ameur, H</au><au>Triki, H</au><au>Ben Amar, M</au><au>Mzali, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ileal pouch-anal anastomosis: Points of controversy</atitle><jtitle>Journal of visceral surgery</jtitle><addtitle>J Visc Surg</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>151</volume><issue>4</issue><spage>281</spage><epage>288</epage><pages>281-288</pages><issn>1878-7886</issn><eissn>1878-7886</eissn><abstract>Summary Restorative proctocolectomy with ileal pouch-anal anastomosis has become the most commonly used procedure for elective treatment of patients with ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in order to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. In this review of the literature of restorative proctocolectomy with ileal pouch-anal anastomosis, we discuss these technical modifications, limiting our discussion to the current points of controversy. The current “hot topics” for debate are: indications for ileal pouch-anal or ileo-rectal anastomosis, indications for pouch surgery in the elderly, indeterminate colitis and Crohn's disease, the place of the laparoscopic approach, transanal mucosectomy with hand-sewn anastomosis vs. the double-stapled technique, the use of diverting ileostomy and the issue of the best route for delivery of pregnant women. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with ongoing prospective evaluation of the procedure are required to settle these issues.</abstract><cop>France</cop><pmid>24999229</pmid><doi>10.1016/j.jviscsurg.2014.05.004</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adenomatous Polyposis Coli - diagnosis Adenomatous Polyposis Coli - surgery Aged Anal Canal - surgery Anastomosis, Surgical - methods Colitis, Ulcerative - diagnosis Colitis, Ulcerative - surgery Colonic Pouches Elective Surgical Procedures - adverse effects Elective Surgical Procedures - methods Female Humans Ileum - surgery Male Patient Selection Postoperative Complications - epidemiology Postoperative Complications - physiopathology Pregnancy Proctocolectomy, Restorative - adverse effects Proctocolectomy, Restorative - methods Prognosis Quality Control Risk Assessment Surgery Surgical Stapling - methods Treatment Outcome |
| title | Ileal pouch-anal anastomosis: Points of controversy |
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