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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 9/2004

01-09-2004 | Technical Notes

Full-Thickness Pouch Prolapse After Restorative Proctocolectomy: A Potential Future Problem Treated by the New Technique of External Pelvic Neorectal Suspension (the Express Procedure)

Published in: Diseases of the Colon & Rectum | Issue 9/2004

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Abstract

Full thickness pouch prolapse following restroative proctocolectomy is an uncommon complication but likely to become more frequent as this population of patients grows older. Conventional procedures to correct the prolapse may be impossible or significantly risk permanent ileostomy formation. The Express technique which is relatively minimally invasive, is a perineal procedure which elevates and suspends the antero-lateral walls of the prolapsing pouch to the external surface of the pelvis, utilizing strips of long lasting collagen.
Literature
1.
Parks, AG, Nicholls, RJ 1978Proctocolectomy without ileostomy for ulcerative colitis.BMJJul 8: 2 (6/30)858
2.
Blazeby, JM, Durdey, P, Warren, BF 1994Polypoid mucosal prolapse in a pelvic ileal reservoirGut3516689PubMed
3.
Ehsan, M, Billingham, R 2002Prevalence and management of prolapse of the ileoanal pouchDis Colon Rectum45A6
4.
Williams, NS, Giordano, P, Dvorkin, L, Huang, A, Hetzer, F, Scott, SM 2003External fixation of the rectum- evolution of a new perineal procedure for full thickness rectal prolapseColorectal Dis5 (Suppl 1)13
Metadata
Title
Full-Thickness Pouch Prolapse After Restorative Proctocolectomy: A Potential Future Problem Treated by the New Technique of External Pelvic Neorectal Suspension (the Express Procedure)
Publication date
01-09-2004
Published in
Diseases of the Colon & Rectum / Issue 9/2004
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-004-0580-5

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