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Techniques in Coloproctology
Published in: Techniques in Coloproctology 7/2015

01-07-2015 | Trick of the Trade

Successful endoscopic incision of pouch-anal stricture in a patient with ulcerative colitis

Authors: I. Wallstabe, N. Teich

Published in: Techniques in Coloproctology | Issue 7/2015

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Excerpt

Proctocolectomy with ileal pouch-anal anastomosis (IPAA) has been refined since its introduction in the late 1970s. However, a substantial number of patients experience pouch failure, mainly caused by pouchitis and/or pouch-anal stenosis. Strictures occur in about one-sixth of cases, and they usually occur in the setting of pelvic sepsis, anastomotic tension, or ischemia [1]. In particular, early pelvic sepsis mainly impairs the pouch function in the long term [2]. Mainstays of therapy are control of inflammation and interventional endoscopy. In this letter, we report a novel endoscopic technique to safely treat pouch-anal stenosis [3]. …
Literature
1.
Fazio VW, Kiran RP, Remzi FH et al (2013) Ileal pouch anal anastomosis- analysis of outcome and quality of life in 3707 patients. Ann Surg 257:679–685PubMedCrossRef
2.
Selvaggi F, Sciaudone G, Limongelli P et al (2010) The effect of pelvic septic complications on function and quality of life after ileal pouch-anal anastomosis: a single center experience. Am Surg 76:428–435PubMed
3.
Sherman J, Greenstein AJ, Greenstein AJ (2014) Ileal J pouch complications and surgical solutions: a review. Inflamm Bowel Dis 20:1678–1685PubMedCrossRef
4.
Li Y, Shen B (2012) Successful endoscopic needle knife therapy combined with topical doxycycline injection of chronic sinus at ileal pouch-anal anastomosis. Colorectal Dis 14:e197–e199PubMedCrossRef
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Shen B, Fazio VW, Remzi FH et al (2004) Endoscopic balloon dilation of ileal pouch strictures. Am J Gastroenterol 99:2340–2347PubMedCrossRef
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Kerkhof M, Dewint P, Koch AD, van der Woude CJ (2013) Endoscopic needle-knife treatment of refractory ileo-ascending anastomotic stricture. Endoscopy 45:e57–e58PubMedCrossRef
Metadata
Title
Successful endoscopic incision of pouch-anal stricture in a patient with ulcerative colitis
Authors
I. Wallstabe
N. Teich
Publication date
01-07-2015
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 7/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-015-1315-4

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