Ileoanal anastomosis with pelvic pouch: short review

Pelvic pouch surgery is still a rather new technique, but has been developed considerably over the years. The construction of J-shaped pouches and ileoanal anastomoses with a total stapling technique has meant considerable progress in the operative procedure compared to the method including mucosal proctectomy en bloc with excision of the rectum and colon, handsewn pouches, and handsewn ileoanal anastomoses. Omission of a deviating loop ileostomy saves the patient another operation, hospital stay and sick leave. Development of malignancy in an atrophic pouch mucosa cannot be ruled out. Careful surveillance of all patients at the operating clinic is therefore necessary.