Association between mucosectomy and endoscopic outcomes in patients with ileal pouch-anal anastomosis.

ABSTRACT:

Background

In patients with inflammatory bowel disease (IBD) for whom medical therapy is unsuccessful or who develop colitis-associated neoplasia, restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is often indicated. One consideration for surgeons performing this procedure is whether to create this anastomosis using a stapled technique without mucosectomy or using a hand-sewn technique with mucosectomy. This study tested the association between IPAA anastomosis technique and cuffitis and/or pouchitis, assessed endoscopically.

Methods

This was a retrospective cohort study. We included consecutive adult patients with IBD who had undergone IPAA and had received index pouchoscopies at Columbia University Irving Medical Center between 2020 and 2022. Patients we

SUBMITTER: Hembree A 

PROVIDER: S-EPMC11222711 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature