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dc.contributor.authorMartin, S T
dc.contributor.authorTevlin, R
dc.contributor.authorHeeney, A
dc.contributor.authorPeirce, C
dc.contributor.authorHyland, J M
dc.contributor.authorWinter, D C
dc.date.accessioned2012-04-27T12:13:55Z
dc.date.available2012-04-27T12:13:55Z
dc.date.issued2011-12
dc.identifier.citationHow I do it: the stapled ileal J pouch at restorative proctocolectomy. 2011, 15 (4):451-4 Tech Coloproctolen_GB
dc.identifier.issn1128-045X
dc.identifier.pmid21984050
dc.identifier.doi10.1007/s10151-011-0757-6
dc.identifier.urihttp://hdl.handle.net/10147/220931
dc.description.abstractIleal 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.
dc.language.isoenen
dc.rightsArchived with thanks to Techniques in coloproctologyen_GB
dc.subject.meshAnal Canal
dc.subject.meshColonic Pouches
dc.subject.meshEquipment Design
dc.subject.meshFemale
dc.subject.meshFollow-Up Studies
dc.subject.meshHumans
dc.subject.meshInflammatory Bowel Diseases
dc.subject.meshIreland
dc.subject.meshMale
dc.subject.meshPostoperative Complications
dc.subject.meshProctocolectomy, Restorative
dc.subject.meshProspective Studies
dc.subject.meshQuality of Life
dc.subject.meshSurgical Stapling
dc.subject.meshTime Factors
dc.subject.meshTreatment Outcome
dc.titleHow I do it: the stapled ileal J pouch at restorative proctocolectomy.en_GB
dc.typeArticleen
dc.contributor.departmentInstitute for Clinical Outcomes Research and Education (iCORE), Department of Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.en_GB
dc.identifier.journalTechniques in coloproctologyen_GB
dc.description.provinceLeinsteren
html.description.abstractIleal 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.


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