Episode 7: Stapled vs. Hand Sewn IPAA (Mucosectomy)

Description

Use of endomechanical devices made pelvic colorectal surgery much easier. However, in case of ulcerative colitis where IPAA is formed, this ease needs to be balanced with potential issues related to cuffitis and other complications related to retained rectal mucosa. Professors Fleshner and Spinelli debate best approach to formation of Ileal Pouch Anal Anastomosis.

Speakers:

Stapled - Antonino Spinelli, MD, PhD

Hand Sewn - Phillip Fleshner, MD

Moderators:

Vitaliy Poylin, MD

Jean Ashburn, MD

IBD Debate Recording

Last updated: November 26, 2025