Three presentations from the DDW 2023 conference help identify best candidates and illustrate the positive impact redo IPAAs can have on a patient’s QoL.
Diagnosis and Management of Tip of the J-Pouch Leaks
A new study illustrates why it’s important for clinicians to be aware and suspicious of tip of the J-pouch leaks.
Unraveling Twisted Pouch Syndrome
Treating a patient with obstructive defecation and severe pelvic pain after ileal pouch-anal anastomosis, Cleveland Clinic colorectal surgeon Stefan Holubar uncovered a subtle but significant complication that warrants greater awareness among those performing IPAAs.
Laparoscopic Reoperative Ileal J Pouch Anal Anastomosis: A Better Option?
Laparoscopic reoperative ileal J pouch anal anastomosis (IPAA) is feasible, safe and has better outcomes than laparotomy.
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Timing of Post-IPAA Complications Predicts Long-Term Outcomes
Inflammatory bowel disease patients who undergo ileal pouch-anal anastomosis and whose pouch survives several years without complication are likely to have excellent long-term outcomes, a Cleveland Clinic conditional survival study has found.
Third Re-do IPAA Resolves Complications and Vaginal Fistula, Restores Continence: A Case Study
Following two previous surgeries elsewhere, a 43-year-old woman undergoes a third redo pouch and loop ileostomy for ulcerative colitis with remarkable results.
Long-Term Follow-Up of Ileal Pouch Anal Anastomosis in Pediatric and Young Adult Patients with Ulcerative Colitis
The largest and longest follow-up study of its kind concludes that, despite reported complications, IPAA remains an excellent option for pediatric patients with UC.
IPAA Surgical Revision: Lessons Learned from > 500 Patients
With the largest worldwide experience in ileal pouch-anal anastomosis redos, Cleveland Clinic’s success rate remains high with > 82 percent functional at 10-year follow-up. Here’s an inside look at what makes the program tick.