Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases

Introduction: The restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) is currently the preferred surgicalmethod for most patients with ulcerative colitis and familial adenomatous polyposis and sometimes, functional bowel diseases.Infection around the pouch, remaining rectal st...

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Autores principales:	Gholamhossein Hayatollah, Maryam Derakhshani
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2016
Materias:	familial adenomatous polyposis ilioanal pouch sepsis total proctocolectomy ulcerative colitis Medicine R
Acceso en línea:	https://doaj.org/article/35c73d7fc97e4fbe9c282fe08bc61541
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spelling	oai:doaj.org-article:35c73d7fc97e4fbe9c282fe08bc615412021-11-15T09:50:13ZPouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases2783-2430https://doaj.org/article/35c73d7fc97e4fbe9c282fe08bc615412016-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47148_75192074b65b10f1d91cd26e3b7c6c06.pdfhttps://doaj.org/toc/2783-2430Introduction: The restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) is currently the preferred surgicalmethod for most patients with ulcerative colitis and familial adenomatous polyposis and sometimes, functional bowel diseases.Infection around the pouch, remaining rectal stump, stricture at anastomosis site, pouch dysfunction and refractory pouchitis canlead to pouch failure. Pouch salvage surgery could prevent pouch failure in some cases.Case Presentation: In this report, five patients were introduced, who underwent pouch salvage surgery after RPC/IPAA surgeryfailure. Two of the patients were male and three were female and the relevant age range was 16 to 41. Initially, RPC/IPAA surgerywas performed on these five patients. Four of the patients underwent RPC/IPAA surgery as a result of ulcerative colitis and, one ofthe patients as a result of familial adenomatous polyposis. However, due to pouch failure from the RPC/IPAA surgery, pouch-salvagesurgery was performed on each of these five patients. Two of the patients underwent pouch-salvage surgery due to infection andpouch fistula, and the other three underwent this surgery due to the remaining rectal stump, anastomosis stenosis and pouchdysfunction. The average time for when pouch-salvage surgery was performed was 3.5 years (three months to five years) after theinitial operation and the patients were under follow-up care for two to seven years.Conclusions: After performing pouch salvage operation, pouch function was acceptable in all patients and we could closeileostomies of all of them.Gholamhossein HayatollahMaryam DerakhshaniShiraz University of Medical Sciencesarticlefamilial adenomatous polyposisilioanal pouchsepsistotal proctocolectomyulcerative colitisMedicineRENIranian Journal of Colorectal Research, Vol 4, Iss 4 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	familial adenomatous polyposis ilioanal pouch sepsis total proctocolectomy ulcerative colitis Medicine R
spellingShingle	familial adenomatous polyposis ilioanal pouch sepsis total proctocolectomy ulcerative colitis Medicine R Gholamhossein Hayatollah Maryam Derakhshani Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases
description	Introduction: The restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) is currently the preferred surgicalmethod for most patients with ulcerative colitis and familial adenomatous polyposis and sometimes, functional bowel diseases.Infection around the pouch, remaining rectal stump, stricture at anastomosis site, pouch dysfunction and refractory pouchitis canlead to pouch failure. Pouch salvage surgery could prevent pouch failure in some cases.Case Presentation: In this report, five patients were introduced, who underwent pouch salvage surgery after RPC/IPAA surgeryfailure. Two of the patients were male and three were female and the relevant age range was 16 to 41. Initially, RPC/IPAA surgerywas performed on these five patients. Four of the patients underwent RPC/IPAA surgery as a result of ulcerative colitis and, one ofthe patients as a result of familial adenomatous polyposis. However, due to pouch failure from the RPC/IPAA surgery, pouch-salvagesurgery was performed on each of these five patients. Two of the patients underwent pouch-salvage surgery due to infection andpouch fistula, and the other three underwent this surgery due to the remaining rectal stump, anastomosis stenosis and pouchdysfunction. The average time for when pouch-salvage surgery was performed was 3.5 years (three months to five years) after theinitial operation and the patients were under follow-up care for two to seven years.Conclusions: After performing pouch salvage operation, pouch function was acceptable in all patients and we could closeileostomies of all of them.
format	article
author	Gholamhossein Hayatollah Maryam Derakhshani
author_facet	Gholamhossein Hayatollah Maryam Derakhshani
author_sort	Gholamhossein Hayatollah
title	Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases
title_short	Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases
title_full	Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases
title_fullStr	Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases
title_full_unstemmed	Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases
title_sort	pouch salvage surgery for treatment of colitis and familial adenomatous polyposis: report of five cases
publisher	Shiraz University of Medical Sciences
publishDate	2016
url	https://doaj.org/article/35c73d7fc97e4fbe9c282fe08bc61541
work_keys_str_mv	AT gholamhosseinhayatollah pouchsalvagesurgeryfortreatmentofcolitisandfamilialadenomatouspolyposisreportoffivecases AT maryamderakhshani pouchsalvagesurgeryfortreatmentofcolitisandfamilialadenomatouspolyposisreportoffivecases
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Pouch Salvage Surgery for Treatment of Colitis and Familial Adenomatous Polyposis: Report of Five Cases

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