UMMS Affiliation
Department of Surgery
Publication Date
2018-06-15
Document Type
Article
Disciplines
Digestive System | Digestive System Diseases | Gastroenterology | Pathological Conditions, Signs and Symptoms | Surgery | Surgical Procedures, Operative
Abstract
Total proctocolectomy with ileal pouch-anal anastomosis can restore gastrointestinal continuity in patients requiring colectomy for ulcerative colitis, however, it can be associated with high morbidity. Reoperation for pouch-related complications is technically challenging and often leads to deterioration of pouch function or need for permanent stoma. We report a case of acute on chronic small bowel obstruction secondary to a 360-degree twist in the small bowel introduced during creation of the ileal-anal pouch. Our novel approach at repair has not been reported in past literature which included resection and re-anastomosis of the small bowel proximal to the pouch allowing for pouch salvage with return to function.
Keywords
small bowel obstruction, colectomy, ulcerative colitis, anastomosis, surgical, intestine, repeat surgery, stomas, surgical procedures, ileoanal anastomosis, anus, ileum, morbidity, proctocolectomy
Rights and Permissions
© The Author(s) 2018. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
DOI of Published Version
10.1093/jscr/rjy133
Source
J Surg Case Rep. 2018 Jun 15;2018(6):rjy133. doi: 10.1093/jscr/rjy133. eCollection 2018 Jun. Link to article on publisher's site
Journal/Book/Conference Title
Journal of surgical case reports
Related Resources
PubMed ID
29942481
Repository Citation
Buettner H, Kiely MX, Yao M, Yoo J, Chen L. (2018). Unique surgical approach to a twisted ileal-anal pouch. Open Access Articles. https://doi.org/10.1093/jscr/rjy133. Retrieved from https://escholarship.umassmed.edu/oapubs/3511
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Included in
Digestive System Commons, Digestive System Diseases Commons, Gastroenterology Commons, Pathological Conditions, Signs and Symptoms Commons, Surgery Commons, Surgical Procedures, Operative Commons