The Benefits and Drawbacks of Staging Pelvic Pouches

Overview

Journal Clin Colon Rectal Surg

Date 2023 Jan 2

PMID 36591400

Authors

Poppy Addison

Ajaratu O Keshinro

David M Schwartzberg

Affiliations

Soon will be listed here.

Abstract

Since the mid-20th century, physicians have searched for way to improve the lives of patients with ulcerative colitis (UC). Early attempts of curative resection left the patients with a permanent stoma with only primitive stoma appliances available. Gradually, stoma care improved and operations were devised to give the patient bowel continuity without the need for a permanent ostomy. As these operations were evolving, benefits and drawbacks related to fertility, ease of small bowel reach to the pelvis, and postoperative pelvic sepsis were observed. In this article, we will elucidate the various ways pelvic pouches are used to treat UC and the rationale for the timing of surgery as well as the evolution of stoma care.

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