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The Noble plication: new indication for a historical procedure

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Abstract

Complications following ileal pouch-anal anastomosis (IPAA) have been well-described in the literature. While rare, small bowel volvulus following IPAA has been described. We describe the successful use of the modified Noble plication in such a patient with small bowel volvulus about an elongated mesentery. This largely ‘historical’ technique is well-suited to manage small bowel volvulus, especially when non-resectional management is preferred.

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Correspondence to D. J. Hochman.

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Hochman, D.J., Nivatvongs, S., Selvasekar, C.R. et al. The Noble plication: new indication for a historical procedure. Tech Coloproctol 11, 152–154 (2007). https://doi.org/10.1007/s10151-007-0347-9

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  • DOI: https://doi.org/10.1007/s10151-007-0347-9

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