Conversion of Failed J-Pouch to Kock Pouch: Indications, Contraindications, and Outcomes.
Dis Colon Rectum
; 67(S1): S46-S51, 2024 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-38276945
ABSTRACT
BACKGROUND:
The IPAA has been successful in restoring intestinal continuity and preserving continence in the majority of patients requiring a proctocolectomy. However, a subset of individuals experience significant complications that might result in pouch failure. The conversion of the J-pouch to a continent ileostomy pouch represents a significant surgical procedure. In this article, we discuss the indications and contraindications, present the technical principles applied for the conversion, and describe the outcomes of such conversion in the literature.OBJECTIVE:
The main objective during the conversion of the J-pouch to a continent ileostomy is the creation of a sufficiently sized reservoir with a high-quality valve mechanism while preserving as much small bowel as possible.CONCLUSIONS:
The conversion of the J-pouch to a continent ileostomy represents a significant surgical procedure. When performed in centers of expertise, it can be a good option for patients who otherwise will require an end ileostomy. Indications for conversion include most cases of J-pouch failure, with a few important exceptions. See video from symposium .
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Ileostomía
/
Proctocolectomía Restauradora
/
Reservorios Cólicos
Límite:
Humans
Idioma:
En
Revista:
Dis Colon Rectum
Año:
2024
Tipo del documento:
Article