Seminars in Pediatric Surgery
Volume 16, Issue 3 , Pages 194-199, August 2007

Ileal pouch–anal anastomosis for ulcerative colitis: Technical considerations

  • Craig W. Lillehei, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Craig W. Lillehei, MD, Boston Children’s Hospital, Department of Pediatric Surgery, 300 Longwood Avenue, Fegan 3, Boston, MA 02115.

Department of Pediatric Surgery, Boston Children’s Hospital, Boston, Massachusetts.

Total colectomy with ileal pouch–anal anastomosis has emerged as the preferred surgical treatment for ulcerative colitis. The operation has evolved over the last few decades. Various technical issues are discussed, including types of reservoir, options for mesenteric lengthening, method and level of ileoanal anastomosis (hand-sewn versus stapled), and rationale for staging. Anticipated postoperative problems and strategies for management are discussed.

Keywords: Ulcerative colitis, Ileal pouch–anal anastomosis, Mesenteric lengthening, Staging, Fecal continence, Sexual dysfunction

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PII: S1055-8586(07)00027-3

doi:10.1053/j.sempedsurg.2007.04.008

Seminars in Pediatric Surgery
Volume 16, Issue 3 , Pages 194-199, August 2007

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