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- Delaini, G G (author)
The ileoanal pouch procedure in the long-term perspective: a critical review.
- Article/chapterEnglish2005
Publisher, publication year, extent ...
- 2005-11-21
- Springer Science and Business Media LLC,2005
Numbers
- LIBRIS-ID:oai:gup.ub.gu.se/277089
- https://gup.ub.gu.se/publication/277089URI
- https://doi.org/10.1007/s10151-005-0225-2DOI
Supplementary language notes
- Language:English
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Notes
- An ileo-pouch anal anastomosis (IPAA) has become the gold standard procedure for ulcerative colitis and familial adenomatous polyposis. Clinical results on the pelvic pouch procedure have often been encouraging; when confronted with the different surgical options, the majority of patients select IPAA as the best operation. However, even if IPAA is a great innovation, it is by no means the first choice for all patients. For patients old enough to join in a responsible discussion, the pros and cons of the various operations must be carefully described; the choice of surgical procedure must meet the patient's wishes and appear soundly based to the surgeon. The young age of most patients has to be considered and a long follow-up time is required to establish whether and, if so, to what extent the operation may adversely impact the patient's continence, sex life, fertility, and quality of life. The risk of cancer transformation in the residual rectal mucosa in the muscular or columnar cuff is another important factor that may influence the eventual decision. This article critically reviews our experience and the literature.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
- Anal Canal
- surgery
- Anastomosis
- Surgical
- Colonic Pouches
- adverse effects
- standards
- Colorectal Neoplasms
- mortality
- surgery
- Fecal Incontinence
- Female
- Humans
- Male
- Neoplasm Recurrence
- Local
- diagnosis
- surgery
- Postoperative Complications
- diagnosis
- epidemiology
- Pouchitis
- diagnosis
- epidemiology
- Proctocolectomy
- Restorative
- adverse effects
- methods
- Prognosis
- Quality of Life
- Reoperation
- Risk Assessment
- Surgical Wound Infection
- diagnosis
- epidemiology
- Survival Analysis
Added entries (persons, corporate bodies, meetings, titles ...)
- Scaglia, M (author)
- Colucci, G (author)
- Hultén, Leif,1931Gothenburg University,Göteborgs universitet,Institutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi,Institute of Surgical Sciences, Department of Surgery(Swepub:gu)xhulei (author)
- Göteborgs universitetInstitutionen för de kirurgiska disciplinerna, Avdelningen för kirurgi (creator_code:org_t)
Related titles
- In:Techniques in coloproctology: Springer Science and Business Media LLC9:3, s. 187-921123-63371128-045X
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