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364252

Avoiding ileocolic vessel injury in the second stage of a three-stage ileal pouch anal anastomosis: an observational study

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Last updated: 05 Jan 2025

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Abstract

Ileal pouch anal anastomosis is a commonly performed procedure. The operation can be completed in one stage, two stages, or three stages depending on the general condition of the patient and the local condition of the bowel. The J pouch is the most commonly performed pouch design. After construction, the pouch mesentery can be short, necessitating ligation and division of the superior mesenteric pedicel to allow the pouch reach the anal canal at ease. In this case, the ileocolic pedicle should be intact to give alternative blood supply to the newly constructed pouch. The ileocolic pedicle can be inadvertently injured during dissection to take down the ileostomy in the second stage of a three-stage operation. This can risk the pouch integrity in case the superior mesenteric pedicle needs to be divided. We are describing a method to avoid such inadvertent ileocolic vessel injury. After adopting this method, we did not have a single incident of ileocolic vessel injury in the second stage of a three-stage ileal pouch anal anastomosis.

DOI

10.4103/1110-1121.199887

Keywords

ileal pouch, ileocolic, J pouch

Authors

First Name

Ahmed A.

Last Name

Abou-Zeid

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First Name

Islam Hossam El-Din

Last Name

El-Abbassy

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First Name

Ahmed A.

Last Name

Khalil

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First Name

Mahmoud

Last Name

Farghaly

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First Name

Sherif

Last Name

Boraei

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Volume

36

Article Issue

1

Related Issue

48937

Issue Date

2017-01-01

Receive Date

2016-06-20

Publish Date

2017-01-01

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_364252.html

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https://ejsur.journals.ekb.eg/service?article_code=364252

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364,252

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

Avoiding ileocolic vessel injury in the second stage of a three-stage ileal pouch anal anastomosis: an observational study

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Article

Created At

21 Dec 2024