Revolution and evolution: 30 years of ileoanal pouch surgery
Article first published online: 14 DEC 2006
Copyright © 2006 Crohn's & Colitis Foundation of America, Inc.
Inflammatory Bowel Diseases
Volume 12, Issue 2, pages 131–145, February 2006
How to Cite
Bach, S. P. and Mortensen, N. J. M. (2006), Revolution and evolution: 30 years of ileoanal pouch surgery. Inflamm Bowel Dis, 12: 131–145. doi: 10.1097/01.MIB.0000197547.80558.59
- Issue published online: 14 DEC 2006
- Article first published online: 14 DEC 2006
- Manuscript Accepted: 12 NOV 2005
- Manuscript Received: 10 NOV 2005
- ulcerative colitis;
- inflammatory bowel disease;
- ileal pouch-anal anastomosis
Ileal pouch-anal anastomosis (IPAA) has become the standard of care for the 25% of patients with ulcerative colitis who ultimately require colectomy. IPAA is favored by patients because it avoids the necessity for a long-term stoma. This review examines how 3 decades of experience with IPAA has molded current practice, highlighting 5- and 10-year follow-up of large series to determine durability and functional performance, in addition to causes of failure and the management of complications.