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    How I do it: the stapled ileal J pouch at restorative proctocolectomy.

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    Authors
    Martin, S T
    Tevlin, R
    Heeney, A
    Peirce, C
    Hyland, J M
    Winter, D C
    Affiliation
    Institute for Clinical Outcomes Research and Education (iCORE), Department of Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
    Issue Date
    2011-12
    MeSH
    Anal Canal
    Colonic Pouches
    Equipment Design
    Female
    Follow-Up Studies
    Humans
    Inflammatory Bowel Diseases
    Ireland
    Male
    Postoperative Complications
    Proctocolectomy, Restorative
    Prospective Studies
    Quality of Life
    Surgical Stapling
    Time Factors
    Treatment Outcome
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    Metadata
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    Citation
    How I do it: the stapled ileal J pouch at restorative proctocolectomy. 2011, 15 (4):451-4 Tech Coloproctol
    Journal
    Techniques in coloproctology
    URI
    http://hdl.handle.net/10147/220931
    DOI
    10.1007/s10151-011-0757-6
    PubMed ID
    21984050
    Abstract
    Ileal pouch-anal anastomosis (IPAA) following proctocolectomy is the preferred option for patients with medically refractory ulcerative colitis, indeterminate colitis, and familial adenomatous polyposis. However, it remains a procedure associated with morbidity and mortality. Pelvic sepsis, pouch fistulae, and anastomotic dehiscence predispose to pouch failure. We report our experience with an adaptation for the formation of the stapled ileal J pouch using the GIA™ 100 stapling device (Covidien, Mansfield, Massachusetts, USA). When creating the J pouch, we remove the bevelled plastic protector from the thin fork of the stapling device, allowing the staple line to be completed to the tip of the stapled efferent limb of the pouch, thereby minimizing potential blind ending in the efferent limb and injury to the transverse staple line.
    Item Type
    Article
    Language
    en
    ISSN
    1128-045X
    ae974a485f413a2113503eed53cd6c53
    10.1007/s10151-011-0757-6
    Scopus Count
    Collections
    St. Vincent's University Hospital

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