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Endorectal Ileal Pullthrough-Reply

Endorectal Ileal Pullthrough-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —We appreciate Dr Braslow's suggestions and recommendations regarding the endorectal ileal pullthrough procedure. As indicated in our article, the ileum is divided approximately 1 to 2 cm from the ileocecal valve unless there is active disease in the terminal ileum, in which case a small amount of ileum is resected. After mobilizing the superior mesenteric artery up to its origin from the aorta, the terminal ileum is divided approximately 15 cm from the end, but preserving the blood supply to the distal segment. The reservoir is constructed in a side-to-side manner over a distance of approximately 12 to 13 cm, which leaves an ileal "spout" distal to the lower end of the reservoir of approximately 1.5 to 2 cm. With regard to preserving the ileocecal valve and a portion of ileum for the pullthrough segment, it has been our experience that almost all patients with ulcerative colitis will http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Endorectal Ileal Pullthrough-Reply

Archives of Surgery , Volume 124 (4) – Apr 1, 1989

Endorectal Ileal Pullthrough-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —We appreciate Dr Braslow's suggestions and recommendations regarding the endorectal ileal pullthrough procedure. As indicated in our article, the ileum is divided approximately 1 to 2 cm from the ileocecal valve unless there is active disease in the terminal ileum, in which case a small amount of ileum is resected. After...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1989.01410040118029
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —We appreciate Dr Braslow's suggestions and recommendations regarding the endorectal ileal pullthrough procedure. As indicated in our article, the ileum is divided approximately 1 to 2 cm from the ileocecal valve unless there is active disease in the terminal ileum, in which case a small amount of ileum is resected. After mobilizing the superior mesenteric artery up to its origin from the aorta, the terminal ileum is divided approximately 15 cm from the end, but preserving the blood supply to the distal segment. The reservoir is constructed in a side-to-side manner over a distance of approximately 12 to 13 cm, which leaves an ileal "spout" distal to the lower end of the reservoir of approximately 1.5 to 2 cm. With regard to preserving the ileocecal valve and a portion of ileum for the pullthrough segment, it has been our experience that almost all patients with ulcerative colitis will

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1989

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