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01-04-2007

Long-Axis Rotational Volvulus in a W Ileoanal Pouch: An Unusual but Potentially Preventable Problem. Report of a Case

Authors: Md Z. Ullah, F.R.C.S., Olu A. Fajobi, M.Sc., F.R.C.S., Aman M. Bhargava, F.R.C.S.(Gen. Surg.)

Published in: Diseases of the Colon & Rectum | Issue 4/2007

Purpose

This study was designed to report long-axis rotational volvulus, an unusual long-term complication of restorative proctocolectomy.

Methods

A MEDLINE search using the keywords, pouch volvulus, pouch complications, ileoanal pouch volvulus, restorative proctocolectomy volvulus, restorative proctocolectomy complications, W-pouch, and early and late complications, was performed and yielded no previous reports.

Results

We describe pouch gangrene secondary to volvulus in a W-pouch four years after restorative proctocolectomy for ulcerative colitis. Early recognition by clinical features, pouchoscopy, and soluble contrast studies are crucial if pouch salvage by pouchpexy is to be successful.

Conclusions

Acute necrosis of the ileoanal pouch caused by long-axis rotational volvulus is an important, but uncommon, cause of life-threatening acute abdomen after restorative proctocolectomy. Prophylactic pouchpexy at the time of pouch construction or salvage pouchpexy after early diagnosis of the at-risk pouch are important considerations to avoid loss of the pouch.

Catalano, O 1996Small bowel volvulus following ileal pouch-anal anastomosis: CT demonstrationEur J Radiol23115117PubMedCrossRef

Read, TE, Schoetz, DJ,Jr, Marcello, PW, et al. 1997Afferent limb obstruction complicating ileal pouch-anal anastomosisDis Colon Rectum40566569PubMedCrossRef

Turan, M, Sen, M, Karadayi, K, et al. 2004Our sigmoid colon volvulus experience and benefits of colonoscope in detortion processRev Esp Enferm Dig963235PubMedCrossRef

Ehsan, M, Isler, JT, Kimmins, MH, Billingham, RP 2004Prevalence and management of prolapse of the ileoanal pouchDis Colon Rectum47885888PubMedCrossRef

Korsgen, S, Nikiteas, N, Ogunbiyi, OA, Keighley, MR 1996Results from pouch salvageBr J Surg83372374PubMedCrossRef

Title: Long-Axis Rotational Volvulus in a W Ileoanal Pouch: An Unusual but Potentially Preventable Problem. Report of a Case
Authors: Md Z. Ullah, F.R.C.S.
Olu A. Fajobi, M.Sc., F.R.C.S.
Aman M. Bhargava, F.R.C.S.(Gen. Surg.)
Publication date: 01-04-2007
Publisher: Springer-Verlag
Published in: Diseases of the Colon & Rectum / Issue 4/2007
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-006-0825-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Long-Axis Rotational Volvulus in a W Ileoanal Pouch: An Unusual but Potentially Preventable Problem. Report of a Case

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Purpose

Methods

Results

Conclusions

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