Ileal pouch-anal anastomosis has become the surgical procedure of choice for chronic ulcerative colitis. Since the initial description of the technique, various modifications have facilitated its evolution into a safe operation with excellent long-term outcomes. However, some aspects of the operation remain contentious. Our aim is to describe the technical aspects of ileal pouch-anal anastomosis and review the current literature in the areas of controversy.
KEYWORDS
Ileoanal pouch - ulcerative colitis - surgery
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John H PembertonM.D.
Division of Colon and Rectal Surgery
Mayo Clinic Foundation, 200 First Street SW
Rochester, MN 55905
eMail: pemberton.john@mayo.edu