Development of a systematic approach to conversion of the ileoanal pouch into continent ileostomy.
Tech Coloproctol
; 25(11): 1233-1242, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-34435317
ABSTRACT
Based on practical experience, a systematic approach to conversion of ileal J-pouches into continent ileostomies is developed by defining three types of conversion surgery, each with two subtypes. Type 1 refers to conversion without pouch reconstruction, type 2 to partial pouch reconstruction, and type 3 to complete pouch reconstruction. The subdivisions (a and b) take into account whether the afferent loop of the former pelvic pouch (a) or a higher ileal/jejunal segment of the small intestine (b) is used in conversion and/or reconstruction. The six resulting surgical variants are shown in schematic illustrations with accompanying descriptions of technical details to provide the specialized surgeon with comprehensive technical guidance.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colite Ulcerativa
/
Proctocolectomia Restauradora
/
Parede Abdominal
/
Bolsas Cólicas
Tipo de estudo:
Guideline
Aspecto:
Patient_preference
Limite:
Humans
Idioma:
En
Revista:
Tech Coloproctol
Ano de publicação:
2021
Tipo de documento:
Article