Journal Article

Unique surgical approach to a twisted ileal-anal pouch

Hannah Buettner, Maria X Kiely, Mengdi Yao, James Yoo and Lilian Chen

in Journal of Surgical Case Reports

Volume 2018, issue 6 ISSN: N/A
Published online June 2018 | e-ISSN: 2042-8812 | DOI:
Unique surgical approach to a twisted ileal-anal pouch

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  • Gastro-intestinal and Colorectal Surgery


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Total proctocolectomy with ileal pouch-anal anastomosis can restore gastrointestinal continuity in patients requiring colectomy for ulcerative colitis, however, it can be associated with high morbidity. Reoperation for pouch-related complications is technically challenging and often leads to deterioration of pouch function or need for permanent stoma. We report a case of acute on chronic small bowel obstruction secondary to a 360-degree twist in the small bowel introduced during creation of the ileal-anal pouch. Our novel approach at repair has not been reported in past literature which included resection and re-anastomosis of the small bowel proximal to the pouch allowing for pouch salvage with return to function.

Journal Article.  1057 words.  Illustrated.

Subjects: Gastro-intestinal and Colorectal Surgery

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