Diagnosis and management of surgical complications and dysplasia related to the ileal pouch
10.3760/cma.j.cn101480-20201217-00136
- VernacularTitle:储袋外科并发症及不典型增生的临床诊疗
- Author:
Lei LIAN
1
;
Minghao XIE
;
Bo SHEN
Author Information
1. 中山大学附属第六医院结直肠肛门外科，广州 510655
- Publication Type:Journal Article
- Keywords:
Pouch;
Complications;
Dysplasia;
Total proctocolectomy;
Ileal pouch-anal anastomosis;
Anastomotic leakage;
Pouch stenosis;
Fistula formation;
Floppy pouch com
- From:
Chinese Journal of Inflammatory Bowel Diseases
2021;05(2):125-129
- CountryChina
- Language:Chinese
-
Abstract:
At present, total proctocolectomy (TPC) and ileal pouch-anal anastomosis (IPAA) is the standard surgical treatment for patients with medically refractory ulcerative colitis (UC) , UC combined with carcinoma, and familial adenomatous polyposis. However, there may be a series of surgical complications related to the pouch after IPAA, such as anastomotic leakage, pouch stenosis and pouch fistula formation. There are specificities in clinical diagnosis and treatment for these complications. The wrong diagnosis and improper treatment can lead to the failure of pouch and the switch to the permanent stoma. The dysplasia of pouch is a high-risk factor for carcinoma. And it may become carcinoma, if not detected or treated in time. Therefore, based on complete understanding of the surgical complications and dysplasia related to pouch, a clear diagnosis and timely treatment will help to increase the success rate of surgery and improve the prognosis of patients. This article summarizes and discusses the current progress in the diagnosis and treatment of surgical complications and dysplasia related to pouch for reference.
