Redo pouches: Salvaging of failed ileal pouch-anal anastomoses

Gilberto Poggioli, Floriano Marchetti, Simonetta Selleri, Silvio Laureti, Luca Stocchi, Giuseppe Gozzetti

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

From October 1, 1984 to December 31, 1991 at the Clinica Chirurgica II of the University of Bologna, 140 patients submitted to ileal pouch-anal anastomosis for ulcerative colitis (UC) and familial adenomatous polyposis (FAP). Nineteen patients (13.5 percent) developed septic complications. Of these, 11 patients (7.8 percent) had pelvic sepsis. Eight patients required further surgical intervention. Five patients underwent the redo pouch procedure. Another redo pouch was performed in a patient who had previously, in another hospital, had an ileal pouch-anal anastomosis placed and then removed because of ischemic necrosis of the reservoir. No deaths are reported in the reoperated patients. Currently, five of the six patients who underwent the redo pouch procedure have a well-functioning ileoanal anastomosis. The redo pouch procedure should always be attempted prior to the establishment of pelvic fibrosis.

Original languageEnglish (US)
Pages (from-to)492-496
Number of pages5
JournalDiseases of the Colon & Rectum
Volume36
Issue number5
DOIs
StatePublished - May 1 1993
Externally publishedYes

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Keywords

  • Ileal pouchanal anastomosis
  • Pelvic sepsis
  • Redo pouch

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Poggioli, G., Marchetti, F., Selleri, S., Laureti, S., Stocchi, L., & Gozzetti, G. (1993). Redo pouches: Salvaging of failed ileal pouch-anal anastomoses. Diseases of the Colon & Rectum, 36(5), 492-496. https://doi.org/10.1007/BF02050016