Ileoanal Anastomosis



Ileoanal pouch anastomosis is frequently performed in patients who require total proctocolectomy. Performance of an ileoanal anastomosis allows for the avoidance of a permanent ileostomy and restores fecal continence. A straight ileoanal anastomosis has been successfully performed in some children with refractory ulcerative colitis (UC) with reasonable functional outcomes. However, in adults, the functional results of direct ileoanal anastomosis are not satisfactory with increased stool frequency and impaired continence. Therefore, current ileoanal anastomosis procedures usually involve creation of an ileal pouch as a “neorectum” with reservoir capacity. This procedure is called restorative proctocolectomy or ileal pouch–anal anastomosis (IPAA).


Ulcerative Colitis Familial Adenomatous Polyposis Ileal Pouch Restorative Proctocolectomy Familial Adenomatous Polyposis Patient 
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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Colo-rectal Surgery Unit, Division of SurgeryTel Aviv Sourasky Medical CenterTel AvivIsrael
  2. 2.Gastroenterology and Endoscopy, Highland Park HospitalNorthShore University Health SystemHighland ParkUSA
  3. 3.MedicineUniversity of Chicago Medical CenterHighland ParkUSA

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