Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

829
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:
829
Ostomy Care01:24

Ostomy Care

2.8K
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:
2.8K
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

1.1K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
1.1K
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

963
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
963
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

1.3K
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
1.3K
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

571
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
571

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Defining Standard Data Reporting in Pelvic Exenterations for Non-Rectal Cancers: A Systematic Review of Current Data Reporting.

Cancers·2025
Same author

Employing innovation to enhance the safety and reliability of restorative surgical techniques for patients with familial adenomatous polyposis at a national referral centre.

Techniques in coloproctology·2024
Same author

From evidence to practice: real-world insights into outpatient management of acute uncomplicated diverticulitis.

Techniques in coloproctology·2024
Same author

Patient experiences of left-sided colorectal resection by robotic, conventional laparoscopic and open approaches: a qualitative study.

Techniques in coloproctology·2023
Same author

Gastrointestinal aspects of Peutz-Jeghers syndrome.

Best practice & research. Clinical gastroenterology·2022
Same author

Transanal versus laparoscopic total mesorectal excision: a comparative study of long-term oncological outcomes.

Techniques in coloproctology·2022

Related Experiment Video

Updated: Mar 22, 2026

Author Spotlight: Developing a Rat Model for Pouchitis Research and Treatment
04:05

Author Spotlight: Developing a Rat Model for Pouchitis Research and Treatment

Published on: May 31, 2024

973

Management of pouch dysfunction in a tertiary centre.

S Ourô1, B Thava1, I Shaikh1

  • 1Department of Surgery, St Mark's Hospital, Harrow, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|April 19, 2016
PubMed
Summary

Restorative proctocolectomy (RPC) patients with pouch dysfunction often experience multiple symptoms like frequent defecation and pain. Management requires a multidisciplinary approach with diverse investigations and treatments for optimal outcomes.

Keywords:
Restorative proctocolectomyileoanal pouchileoanal pouch dysfunction

More Related Videos

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

1.5K
Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

12.9K

Related Experiment Videos

Last Updated: Mar 22, 2026

Author Spotlight: Developing a Rat Model for Pouchitis Research and Treatment
04:05

Author Spotlight: Developing a Rat Model for Pouchitis Research and Treatment

Published on: May 31, 2024

973
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

1.5K
Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

12.9K

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Surgical Outcomes

Background:

  • Restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis is a common procedure for ulcerative colitis (UC) and familial adenomatous polyposis (FAP).
  • While offering improved quality of life, RPC is associated with significant morbidity, including pouch dysfunction.
  • Effective management strategies for pouch dysfunction are crucial for patient well-being.

Purpose of the Study:

  • To describe the management of patients referred to a tertiary center for pouch dysfunction following RPC.
  • To identify common symptoms, investigations, diagnoses, and treatments for pouch dysfunction.

Main Methods:

  • Retrospective study of 121 patients referred with pouch dysfunction between October 2006 and November 2014.
  • Data reviewed included initial diagnosis, surgical procedure, symptoms, investigations (pouchoscopy, EUA, MRI, pouchogram), final diagnosis, and treatment.
  • Analysis focused on patients who underwent RPC, primarily for UC.

Main Results:

  • The most frequent referral reasons were high-frequency defecation (69%), abdominal pain (37%), incontinence (37%), and perianal pain (36%).
  • Common diagnoses included pouchitis (21%) and anastomotic leakage (22%).
  • Treatments varied, including long-term antibiotics (25%), ileostomy (16%), Medena catheter use (15%), and surgical interventions for stenosis or revision.

Conclusions:

  • Patients with ileoanal pouch dysfunction present with complex, often multiple, symptoms.
  • A comprehensive range of investigations and treatment modalities is essential for managing these patients.
  • A specialized, multidisciplinary approach is recommended for optimal care of pouch dysfunction.