Diseases of the Colon & Rectum

, Volume 35, Issue 7, pp 694–695 | Cite as

Use of the de Pezzer catheter to facilitate endoanal pull-through during ileal pouch-anal anastomosis

  • G. S. W. Whiteley
  • T. V. Taylor
Technical Notes
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Abstract

Ileal pouch-anal anastomosis is now the treatment of choice for selected patients requiring proctocolectomy for benign mucosal disease of the large intestine. Pelvic sepsis continues to be a major postoperative complication. This is often subsequent to the technical complexity of the intestinal pull-through and ileal pouch-anal anastomosis. We report the use of the de Pezzer catheter to facilitate this often difficult reservoir pull-through during restorative proctocolectomy. This is an inexpensive and simple aid which has consistently helped to decrease operative difficulty, especially where pelvic access is restricted. By enabling the avoidance of clamps and tissue forceps, it has reduced the incidence of contamination and tissue trauma. It has enabled pull-through without undue tension on the reservoir and has facilitated post-operative drainage of the reservoir.

Key words

Ileal pouch-anal anastomosis Surgical technique 

References

  1. 1.
    Barraza RP. A new device to facilitate intestinal pull-through procedures. Surg Gynecol Obstet 1988;167:158–9.Google Scholar
  2. 2.
    Rabinovici R, Krausz MM. Use of a nylon sleeve for safe reservoir downpulling during ileoanal anastomosis. Dis Colon Rectum 1988;31:821–2.Google Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1992

Authors and Affiliations

  • G. S. W. Whiteley
    • 1
  • T. V. Taylor
    • 1
  1. 1.Department of Surgical GastroenterologyUniversity Department of Surgery, Manchester Royal InfirmaryManchesterUK

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