Anastomotic Construction
2 results
1 - 2
Benign Disease- A 25-year-old man with a history of medically refractory ulcerative colitis (UC) and who has undergone a total abdominal colectomy with end ileostomy now presents for his second stage operation of a completion proctectomy, ileoanal pouch anastomosis, and diverting loop ileostomy. What is considered optimal J-pouch length?
- A 34-year-old woman undergoes total abdominal colectomy with an ileostomy for fulminant ulcerative colitis. She strongly desires to avoid a permanent stoma. She is counseled extensively regarding J pouch and she chooses to undergo completion proctectomy. After constructing a J-pouch, you find that the apex of the pouch does not reach the divided rectal cuff. Which is the most appropriate next step?