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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer-Verlag

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DOI

10.1007/s00198-012-1996-8

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1873-4626

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The Ileal Pouch Anal Anastomosis To Divert or not

Authors: Charles M Friel
Publish Date: 2009/01/07
Volume: 13, Issue: 3, Pages: 399-400
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Abstract

The ileal pouch anal anastomosis is a highrisk anastomosis with a high rate of complications Because of this proximal diversion has often been done when performing this operation Recently the practice of proximal diversion has been questioned noting the high rate of complications associated with the stoma and stomal reversal However the cumulative data does suggest that an undiverted ileal pouch anal anastomosis has a higher leak rate and is associated with increased pelvic sepsis Because of the severity of this complication proximal diversion is still advocated in the majority of casesThis paper was originally presented as part of the SSAT/SAGES Joint Symposium entitled “The Gastrointestinal Anastomosis Evidence vs Tradition The Colon Anastomosis Diversion or Primary Anastomosis” at the SSAT 49th Annual Meeting May 2008 in San Diego California The other articles presented in this symposium were Koruda MJ “Diverting Ostomy with Pouch Procedure Causes More Morbidity Than It Prevents” and DuBose J “Colonic Trauma Indications for Diversion vs Repair

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