| Description |
1 online resource (196 pages) |
| Contents |
Intro; Contents; Chapter 1: The History of the Ileoanal Pouch; 1.1 Introduction; 1.2 The History of Surgery for Ulcerative Colitis; 1.3 Ileostomy Avoidance; 1.3.1 Colectomy with Ileorectal Anastomosis; 1.3.2 Restorative Proctocolectomy; 1.3.3 Polyposis Syndromes; 1.4 Restorative Proctocolectomy Since 1978; 1.4.1 Early Clinical Results; 1.5 Technical Developments; 1.5.1 Pouch Design; 1.5.2 The Ileoanal Anastomosis; 1.5.3 Defunctioning Stoma; 1.5.4 Minimally Invasive Techniques; 1.5.5 Long Term Outcome and Failure; References; Chapter 2: Patient Selection; 2.1 Ulcerative Colitis; 2.1.1 Acute |
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2.1.2 Elective2.1.3 Intractable Disease; 2.1.4 Dysplasia/Cancer; 2.1.5 Special Considerations; 2.1.5.1 Patient Factors; Age; Obesity; 2.1.5.2 Disease Factors; Medical Therapy; Primary Sclerosing Cholangitis; Indeterminate Colitis and Crohn's Disease; 2.1.5.3 Surgeon Factors; Laparoscopic Surgery; 2.2 Functional Bowel Disorders; 2.3 Conclusion; References; Chapter 3: Pouch Configuration; 3.1 Introduction; 3.2 The Pouch: S-, J- or W?; 3.2.1 The Evidence; 3.3 IPAA: Hand-Sewn or Stapled?; 3.4 Our Technique; References; Chapter 4: Pouch Lengthening Techniques |
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4.1 Mobilisation of Small Bowel Mesentery4.2 Anterior and Posterior Mesenteric Incisions; 4.3 Careful Planning of Vascular Division; 4.4 Excision of Bow String of Mesentery; 4.5 Further Techniques to Increase Length; 4.5.1 Vary the Apex of the Pouch; 4.5.2 Folding of the Pouch; 4.6 Pouch Configuration; 4.7 Type of Anastomosis; References; Chapter 5: Minimally Invasive Pouch Surgery: Tips and Tricks; 5.1 Introduction; 5.2 Definition; 5.3 Patient Selection; 5.4 Procedure; 5.4.1 Positioning/Equipment/Port Placement; 5.4.2 Colectomy for Acute UC or Medically Refractory UC |
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5.4.3 Proctectomy and Ileoanal Pouch Formation5.4.4 Specimen Extraction; 5.4.5 Pouch Formation; 5.4.6 Anastomosis; 5.4.7 Ileostomy Formation; 5.5 Post Operative Management; 5.6 Investigations Prior to Closure of Ileostomy; 5.7 Considerations; References; Chapter 6: The Complicated Pouch; 6.1 Introduction; 6.2 Complications; 6.2.1 Early Salvage; 6.2.1.1 Endosponge Treatment; 6.2.1.2 Anastomotic Closure; 6.2.2 Late Salvage of the Dysfunctioning Pouch; 6.3 Mechanical Causes of Dysfunction; 6.4 Inflammatory or Septic Causes of Dysfunction; 6.4.1 Surgical Approaches; 6.4.2 Results of Redo Surgery |
| Summary |
This book gives a comprehensive overview of surgery that results in creating an ileoanal pouch or continent ileostomy. It deals with the entire journey of pouch surgery starting from patient selection and counselling to technical tips and tricks and ending in managing pouch function and failure. Containing a patient experience section this volume helps clinicians better understand what a patient expects from the ileoanal pouch. This is a very specialised topic but one that is covered very poorly and this book has the potential to consolidate all that is known about the topic to provide a comprehensive overview on the surgery and its consequences |
| Bibliography |
ReferencesChapter 7: Ileal Pouch Salvage, Pouch Failure and Redo Surgery; 7.1 Indications; 7.2 Surgery; 7.3 Outcomes; References; Chapter 8: Crohn's Disease in the Ileal Pouch Anal Anastomosis: Management Strategies; 8.1 Introduction; 8.2 Defining CD of the Pouch; 8.3 Aetiology of CD of the Pouch; 8.4 Classification of CD Complications; 8.5 Differential Diagnosis; 8.5.1 Inflammation within the Pouch/ Pre-pouch Ileum; 8.5.2 Stricturing Disease; 8.5.3 Small Bowel Obstruction; 8.5.4 Fistulating Disease; 8.5.5 Pouch-Vaginal Fistulae; 8.6 Management of CD of the Pouch; 8.6.1 Inflammation |
| Notes |
8.6.2 Strictures |
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Print version record |
| Subject |
Restorative proctocolectomy.
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Colonic Pouches
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Ileostomy -- methods
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Anastomosis, Surgical -- methods
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Postoperative Complications -- prevention & control
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MEDICAL -- Surgery -- General.
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Restorative proctocolectomy
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| Form |
Electronic book
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| Author |
Warusavitarne, Janindra
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Perry-Woodford, Zarah
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| ISBN |
9783319943855 |
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3319943855 |
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