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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

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Related Experiment Video

Updated: Jun 24, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Failed pelvic pouch substituted by continent ileostomy.

H H Wasmuth1, G Tranø, A Wibe

  • 1Department of Gastrointestinal Surgery, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. hans.wasmuth@stolav.no

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|April 4, 2009
PubMed
Summary

Conversion to continent ileostomy (CI) offers an alternative to permanent ileostomy after failed ileal pouch-anal anastomosis (IPAA). This approach preserves ileal length and pouch function, with most patients achieving continence.

Related Experiment Videos

Last Updated: Jun 24, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Gastroenterology

Background:

  • Ileal pouch-anal anastomosis (IPAA) has a 10-15% long-term failure rate.
  • Pouch excision with conventional ileostomy sacrifices significant ileal length.
  • Continent ileostomy (CI) preserves ileal surface and pouch properties.

Purpose of the Study:

  • To evaluate the clinical outcome of converting failed IPAA to a continent ileostomy (CI).
  • To assess CI as an alternative to pouch excision and permanent ileostomy.

Main Methods:

  • Retrospective analysis of 11 patients with IPAA failure who underwent conversion to CI between 1984-2007.
  • CI constructed either from transposing pelvic pouch or a new ileal segment.
  • Median follow-up of 7 years.

Main Results:

  • 8 out of 11 patients achieved full continence at follow-up.
  • Two CI required removal due to fistulae; one needed nipple valve revision.
  • One patient with Crohn's disease experienced minor leakage.

Conclusions:

  • Conversion to CI is a viable alternative to pouch excision for failed IPAA, offering improved continence and body image.
  • Construction of CI from a new ileal segment is possible but requires careful consideration of small bowel loss and malnutrition risks.