Restorative pouch surgery following proctocolectomy for inflammatory bowel disease: past experience and future direction

ABSTRACT: Major advancements in surgery for patients suffering proctocolitis from ulcerative colitis (UC) or selected patients with Crohn’s disease (CD) have emerged in a relatively short time. Historically, patients underwent a proctocolectomy with end ileostomy, however, a restorative proctocolectomy with an ileal pouch-anal anastomosis (IPAA) was introduced in the late 1970s in the United Kingdom and gave patients the opportunity to avoid a permanent stoma. Initially designed as a hand-sewn “S” shaped pouch, with the invention of the linear stapler, a “J” shaped pouch was described in Japan, and subsequent advances in the United States largely contributed to the pelvic pouch’s evolution to the standard of care in the management of patients with inflammatory bowel disease (IBD). The procedure was

SUBMITTER: Cohen D 

PROVIDER: S-EPMC10432232 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature