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Continent Ileostomy After Removal of a Failed IPAA

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Mastery of IBD Surgery

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Abstract

Ileal pouch-anal anastomosis (IPAA) is considered the reconstructive procedure of choice for patients who require total proctocolectomy (TPC) for treatment of ulcerative colitis (UC) [1, 2]. IPAA is also offered in some centers to highly-selected patients with indeterminate colitis and Crohn’s colitis requiring TPC [3–5]. While the vast majority of patients who undergo IPAA report good quality of life and high pouch retention rates [6, 7], approximately 10% will suffer complications leading to pouch excision [8]. These patients are usually presented with standard ileostomy as the only option. However, in a few highly specialized centers throughout the world, creation of a continent ileostomy may be offered as a more palatable alternative to end ileostomy.

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Authors and Affiliations

  1. System Surgery Quality and Experience, Elizabeth King Family Chair Holder, University Hospitals of Cleveland, Cleveland, OH, USA

    David W. Dietz

  2. Division of Colorectal Surgery, Clinical Operations and Quality, University Hospitals Cleveland Medical Center, Cleveland, OH, USA

    David W. Dietz

  3. Case Western Reserve University School of Medicine, Cleveland, OH, USA

    David W. Dietz

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  1. David W. Dietz
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Correspondence to David W. Dietz .

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Editors and Affiliations

  1. Colon and Rectal Surgery, University of Chicago, Chicago, IL, USA

    Neil Hyman

  2. Section of Colon and Rectal Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Phillip Fleshner

  3. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Scott Strong

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Dietz, D.W. (2019). Continent Ileostomy After Removal of a Failed IPAA. In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_45

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  • DOI: https://doi.org/10.1007/978-3-030-16755-4_45

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16754-7

  • Online ISBN: 978-3-030-16755-4

  • eBook Packages: MedicineMedicine (R0)

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