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Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review

Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review Current Status Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review S. Lolohea, M.B.Ch.B., F.R.A.C.S., A. C. Lynch, M.B.Ch.B., M.Med.Sc., F.R.A.C.S., G. B. Robertson, M.B.Ch.B., F.R.A.C.S., F. A. Frizelle, M.B.Ch.B., M.Med.Sc., F.R.A.C.S. Colorectal Unit, Department of Surgery, Christchurch Hospital, Christchurch, New Zealand BACKGROUND: Fistula between an ileal pouch and the va- mon sphincter-saving operation. In 1986, Heald and gina is an uncommon complication of ileal pouch–anal anas- Allen reported a series of stapled ileal pouch–anal tomosis. Its optimal management has not been determined anastomoses (IPAAs). The stapled technique makes because of its low incidence. METHODS: The literature de- scribing such fistulas was reviewed to determine the inci- the procedure easier even though it still has many dence, cause, and appropriate investigation and repair of technical issues and pitfalls. these lesions. A literature search was performed with the IPAA is now the procedure of choice for most pa- PubMed, MEDLINE, and EMBASE databases. Through this tients who require surgery for UC and many with fa- search we located English-language articles from 1970 to 2003 on pouch-vaginal fistulas following ileal pouch–anal milial adenomatous polyposis (FAP). A complication anastomosis. References from these articles were searched specific to IPAA is pouch-vaginal fistula (PVF), first manually for http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diseases of the Colon & Rectum Wolters Kluwer Health

Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2005 by The American Society of Colon and Rectal Surgeons
Subject
Medicine & Public Health; Surgery; Oncology; Surgical Oncology; Gastroenterology; Colorectal Surgery
ISSN
0012-3706
eISSN
1530-0358
DOI
10.1007/s10350-005-0079-8
pmid
15991061
Publisher site
See Article on Publisher Site

Abstract

Current Status Ileal Pouch–Anal Anastomosis–Vaginal Fistula: A Review S. Lolohea, M.B.Ch.B., F.R.A.C.S., A. C. Lynch, M.B.Ch.B., M.Med.Sc., F.R.A.C.S., G. B. Robertson, M.B.Ch.B., F.R.A.C.S., F. A. Frizelle, M.B.Ch.B., M.Med.Sc., F.R.A.C.S. Colorectal Unit, Department of Surgery, Christchurch Hospital, Christchurch, New Zealand BACKGROUND: Fistula between an ileal pouch and the va- mon sphincter-saving operation. In 1986, Heald and gina is an uncommon complication of ileal pouch–anal anas- Allen reported a series of stapled ileal pouch–anal tomosis. Its optimal management has not been determined anastomoses (IPAAs). The stapled technique makes because of its low incidence. METHODS: The literature de- scribing such fistulas was reviewed to determine the inci- the procedure easier even though it still has many dence, cause, and appropriate investigation and repair of technical issues and pitfalls. these lesions. A literature search was performed with the IPAA is now the procedure of choice for most pa- PubMed, MEDLINE, and EMBASE databases. Through this tients who require surgery for UC and many with fa- search we located English-language articles from 1970 to 2003 on pouch-vaginal fistulas following ileal pouch–anal milial adenomatous polyposis (FAP). A complication anastomosis. References from these articles were searched specific to IPAA is pouch-vaginal fistula (PVF), first manually for

Journal

Diseases of the Colon & Rectum – Wolters Kluwer Health

Published: Jun 24, 2005

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