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| J Pouch Anastomosis |
| J Pouch, Ileal J Pouch, Ileal j pouch reconstruction, ileal s pouch reconstruction & ileal w pouch reconstruction are also referred as ileal reservoir reconstruction, ileal pouch-anal anastomosis (IPAA), restorative proctocolectomy. Patient with medical conditions of ulcerative colitis or familial polypsis or certain types of colon cancer are subjected to ileal pouch reconstruction. The procedure results in removing colon & most of the rectum, leaving the anal sphincter muscle intact. J-pouch or reservoir is surgically constructed from the small intestine. An opening is made at the bottom of the pouch & sewn or stapled to the anal muscles to restore the intestinal passage. |
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(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
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12/31/1969 03:59 PM
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Technical Modifications and Improved Results With the Ileal Pouch Anal Anastomosis (Ipaa)
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TECHNICAL MODIFICATIONS AND IMPROVED RESULTS WITH THE ILEAL POUCH ANAL ANASTOMOSIS (IPAA). Schoetz, D. J. Jr. MD Lahey Clinic Medical Center, Burlington, Mass. Coller, J. A. MD Murray, J. J. MD
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12/31/1969 03:59 PM
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Does Laparoscopic-Assisted Ileal-Pouch Anal Anastomosis Reduce the Length of Hospitalization?
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DOES LAPAROSCOPIC-ASSISTED ILEAL-POUCH ANAL ANASTOMOSIS REDUCE THE LENGTH OF HOSPITALIZATION?. Department of Colorectal Surgery, Cleveland Clinic Florida, Ft. Lauderdale. Nogueras, J. J. MD
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12/31/1969 03:59 PM
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Current Controversies in Pouch Surgery
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Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. These modifications of the technique are discussed in this review, limited to the current points of controversy. We reviewed the current literature describing restorative proctocolectomy with ileal pouch anal anastomosis. The current "hot topics" for debate are transanal mucosectomy with hand-sewn anastomosis versus the double-stapled technique, the use of diverting ileostomy, indeterminate colitis, the role of laparoscopy, and indications for pouch surgery in the elderly. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with active prospective evaluation of the procedure are required to settle these issues. Patients must be fully informed to understand inherent risks of each choice.
(C) 2003 Southern Medical Association
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12/31/1969 03:59 PM
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Synchronous Occurrence of Colorectal Adenocarcinoma and Colonic Gastrointestinal Stromal Tumor
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MT, Clark HB. Gastric stromal tumors: reappraisal of histogenesis. Am J Surg Pathol 1983;7:507-519 of life, and economic burden of gastrointestinal stromal tumours. J Clin Pharm Ther 2007;32:557-565
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12/31/1969 03:59 PM
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Anemia Following Roux-en-Y Surgery for Morbid Obesity: A Review
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Morbid obesity is a significant problem in the Western world. Recently, there has been an increase in the number of patients undergoing surgical weight loss procedures. Currently, the most widely performed procedure is the Roux-en-Y gastric bypass operation which combines restriction of food intake with malabsorption of calories and various nutrients, resulting in weight loss and nutritional deficiencies, respectively. Various types of anemia may complicate Roux-en-Y and commonly include deficiencies of iron, folate, and vitamin B12. Iron deficiency is particularly common and may result from many mechanisms including poor intake, malabsorption, and mucosal bleeding from marginal ulceration. However, less appreciated etiologies of nutritional anemia include deficiencies of B-complex vitamins, ascorbic acid, and copper. Replacement of the missing or decreased constituent usually reverses the anemia. Since physicians of various medical and surgical specialties are often involved with the postoperative care of bariatric patients, a review of anemia in this patient population is warranted.
(C) 2008 Southern Medical Association
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12/31/1969 03:59 PM
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Ischemic Colitis: A Clinical Review
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Ischemic colitis is the most common form of intestinal ischemia. It manifests as a spectrum of injury from transient self-limited ischemia involving the mucosa and submucosa to acute fulminant ischemia with transmural infarction that may progress to necrosis and death. Although there are a variety of causes, the most common mechanism is an acute, self-limited compromise in intestinal blood flow. Patients typically have mild abdominal pain and tenderness over the involved segment of bowel. There is usually passage of blood mixed with stool, but hemodynamically significant bleeding is unusual. Although computed tomography may have suggestive findings, colonoscopy is the procedure of choice for diagnosis. Supportive care with intravenous fluids, optimization of hemodynamic status, avoidance of vasoconstrictive drugs, bowel rest, and empiric antibiotics will produce clinical improvement within 1 to 2 days in most patients. Twenty percent of patients will have development of peritonitis or may deteriorate despite conservative management and will require surgery.
(C) 2005 Southern Medical Association
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