Clinical approach to patients with an ileal pouch.

Restorative proctocolectomy with ileal pouch–anal anastomosis is the procedure of choice to maintain intestinal continuity when a total proctocolectomy is a required. It is a technically challenging operation that may be burdened by several nuanced complications both in the immediate postoperative p...

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Published in:Abdominal Radiology Vol. 48; no. 9; pp. 2918 - 2930
Main Authors: Maspero, Marianna, Hull, Tracy L.
Format: Journal Article
Published: Springer Nature Sep2023
Online Access:View this record in EBSCOhost
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      dt: Sep2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-023-03888-z
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        atl: Clinical approach to patients with an ileal pouch.
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        au:
          Maspero, Marianna
          Hull, Tracy L.
        affil: Department of Colorectal Surgery, Cleveland Clinic Foundation, 9500 Euclid Ave, 44195, Cleveland, OH, USA
      sug:
      ab: Restorative proctocolectomy with ileal pouch–anal anastomosis is the procedure of choice to maintain intestinal continuity when a total proctocolectomy is a required. It is a technically challenging operation that may be burdened by several nuanced complications both in the immediate postoperative period and in the long term. Most patients with a pouch and any kind of complication will undergo radiological studies, thus multidisciplinary collaboration between surgeons, gastroenterologists, and radiologists is paramount to their timely and accurate diagnosis. When treating pouch patients, radiologists should be familiar with regular pouch anatomy and its appearance in imaging studies, as well as with the most common complications that can occur in this population. In this review, we examine the clinical decision-making process at each step before and after pouch creation, as well as the most common complications associated with pouch surgery, their diagnosis, and their management.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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