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Clin Colon Rectal Surg 2003; 16(4): 271-276
DOI: 10.1055/s-2004-815620
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Mucosectomy and the Ileoanal Pouch

David E. Beck
  • Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana
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Publication History

Publication Date:
12 January 2004 (online)

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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

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