Is diversion free ileal pouch-anal anastomosis a safe procedure? A meta-analysis of 4973 cases.
Khalid KhanTalha ManzoorSarah KhanJohn E HartleyPublished in: International journal of colorectal disease (2021)
In selected patients, diversion-free IPAA is a safe procedure associated with lower anastomotic stricture and pouch failure rates than diverted IPAA. This appears to occur at the expense of a higher re-operation rate. An RCT is required to help define the selection criteria.