Mucosectomy and the Ileoanal Pouch

David E. Beck

doi:10.1055/s-2004-815620

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2003; 16(4): 271-276
DOI: 10.1055/s-2004-815620

Mucosectomy and the Ileoanal Pouch

David E. Beck

Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana

Abstract

ABSTRACT

Anal canal mucosectomy was originally an essential part of a restorative proctocolectomy. It allowed complete removal of mucosa at risk for inflammation (ulcerative colitis) and for the formation of polyps (polyposis coli). Development of a double-staple technique has led to questions about the necessity of mucosectomy. Several clinical situations (severe rectal dysplasia or carcinoma) argue strongly for a mucosectomy, and technical difficulties with a double-staple technique make it necessary that surgeons performing restorative proctocolectomies have the capability to perform a safe and effective mucosectomy. Mucosectomy techniques as well as the advantages and disadvantages of the technique are described.

KEYWORDS

Restorative proctocolectomy - ileal pouch-anal anastomosis - mucosectomy - ileoanal pouch

Full Text

References

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