Diverting ileostomy for treatment of ileoanal pouch dysfunction: a technical note.

ABSTRACT:

Background

The ileal pouch-anal anastomosis (IPAA) is a restorative procedure performed after proctocolectomy to improve quality of life in patients with colorectal conditions like ulcerative colitis, familial adenomatous polyposis, and selected cases of Crohn's disease and Lynch syndrome. However, severe pouch dysfunction can occur, often necessitating further surgical intervention.

Objective

This technical note aims to describe the operative approach and perioperative management for diverting ileostomy as a treatment for dysfunctional ileoanal pouches.

Methods

Indications for the procedure include complications such as pelvic sepsis, pouchitis, fistulas, and Crohn's disease of the pouch. Preoperative planning involves a multidisciplinary team, stoma site marking, an

SUBMITTER: Weng S 

PROVIDER: S-EPMC11568025 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature