TY - JOUR
T1 - Completion mucosectomy for retained rectal mucosa following restorative proctocolectomy with double-stapled ileal pouch-anal anastomosis
AU - Litzendorf, Maria E.
AU - Stucchi, Arthur F.
AU - Wishnia, Susana
AU - Lightner, Amy
AU - Becker, James M.
PY - 2010/3
Y1 - 2010/3
N2 - Introduction: Colectomy with ileal pouch-anal anastomosis has become widely accepted and is now considered the procedure of choice for patients with ulcerative colitis (UC) as well as familial adenomatous polyposis (FAP). Discussion: The clear patient advantage of functional continence has pushed this procedure to the forefront in treating both UC and FAP. As a result, the procedure continues to evolve with recent debate centering on the question of whether to perform a double-stapled technique without rectal mucosectomy or a handsewn anastomosis following transanal mucosectomy. Although continence and complication rates continue to be hotly debated, it is understood that performing the stapled procedure does leave a rectal cuff, which carries with it the possibility of disease persistence or recurrence. As such, if the rectal cuff becomes symptomatic or dysplastic, it must be removed. This is accomplished by performing a transanal completion mucosectomy and reconstructing the ileal pouch-anal anastomosis.
AB - Introduction: Colectomy with ileal pouch-anal anastomosis has become widely accepted and is now considered the procedure of choice for patients with ulcerative colitis (UC) as well as familial adenomatous polyposis (FAP). Discussion: The clear patient advantage of functional continence has pushed this procedure to the forefront in treating both UC and FAP. As a result, the procedure continues to evolve with recent debate centering on the question of whether to perform a double-stapled technique without rectal mucosectomy or a handsewn anastomosis following transanal mucosectomy. Although continence and complication rates continue to be hotly debated, it is understood that performing the stapled procedure does leave a rectal cuff, which carries with it the possibility of disease persistence or recurrence. As such, if the rectal cuff becomes symptomatic or dysplastic, it must be removed. This is accomplished by performing a transanal completion mucosectomy and reconstructing the ileal pouch-anal anastomosis.
KW - Completion mucosectomy
KW - Handsewn anastomosis
KW - IPAA
KW - Ileoanal anastomosis
KW - Restorative proctocolectomy
KW - Stapled anastomosis
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U2 - 10.1007/s11605-009-1099-9
DO - 10.1007/s11605-009-1099-9
M3 - Article
C2 - 19937191
AN - SCOPUS:77950520061
SN - 1091-255X
VL - 14
SP - 562
EP - 569
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
IS - 3
ER -