Controversies in IPAA for Ulcerative Colitis: A Systematic Review of Different Anastomotic Techniques.
Paulo Gustavo KotzeAvellaneda NicolasRafaela de Araujo Molteni MorettiMichele CarvelloElisa Paoluzzi TomadaFabio Guilherme CamposAntonino SpinelliPublished in: Diseases of the colon and rectum (2024)
Handsewn IPAA should be considered if a mucosectomy is performed for dysplasia or cancer in the low rectum or, possibly, for re-do surgery. Double-stapled IPAA has been more widely adopted for its simplicity and for the advantage of preserving the anal transition zone, having lower complications, and having adequate pouch function. The single-stapled IPAA offers a more natural design, is feasible, and is associated with reasonable outcomes compared to double-stapled anastomosis. See video from symposium.
Keyphrases
- ulcerative colitis
- papillary thyroid
- minimally invasive
- coronary artery bypass
- rectal cancer
- risk factors
- squamous cell
- squamous cell carcinoma
- type diabetes
- metabolic syndrome
- percutaneous coronary intervention
- lymph node metastasis
- coronary artery disease
- acute coronary syndrome
- surgical site infection
- skeletal muscle
- weight loss