Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis

Matthew G. Mullen; J. Michael Cullen; Alex D. Michaels; Traci L. Hedrick; Charles M. Friel

doi:10.1007/s11605-015-3038-2

Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis

Matthew G. Mullen
, J. Michael Cullen
, Alex D. Michaels
, Traci L. Hedrick
, Charles M. Friel

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) allows restoration of continence in select patients with ulcerative colitis but is associated with significant morbidity. Well-known complications following IPAA include pouchitis, anastomotic leak, and small bowel obstruction. Obstruction secondary to ileal pouch volvulus is exceedingly rare. We report a case of ileal pouch volvulus, which occurred secondary to internal hernia. Radiographic and endoscopic identification of volvulus allowed for early operative management and pouch salvage.

Original language	English (US)
Pages (from-to)	1072-1073
Number of pages	2
Journal	Journal of Gastrointestinal Surgery
Volume	20
Issue number	5
DOIs	https://doi.org/10.1007/s11605-015-3038-2
State	Published - May 1 2016
Externally published	Yes

Keywords

Ileal pouch
J-pouch
Ulcerative colitis
Volvulus

ASJC Scopus subject areas

Surgery
Gastroenterology

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10.1007/s11605-015-3038-2

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title = "Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis",

abstract = "Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) allows restoration of continence in select patients with ulcerative colitis but is associated with significant morbidity. Well-known complications following IPAA include pouchitis, anastomotic leak, and small bowel obstruction. Obstruction secondary to ileal pouch volvulus is exceedingly rare. We report a case of ileal pouch volvulus, which occurred secondary to internal hernia. Radiographic and endoscopic identification of volvulus allowed for early operative management and pouch salvage.",

keywords = "Ileal pouch, J-pouch, Ulcerative colitis, Volvulus",

author = "Mullen, \{Matthew G.\} and Cullen, \{J. Michael\} and Michaels, \{Alex D.\} and Hedrick, \{Traci L.\} and Friel, \{Charles M.\}",

note = "Publisher Copyright: {\textcopyright} 2015, The Society for Surgery of the Alimentary Tract.",

year = "2016",

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doi = "10.1007/s11605-015-3038-2",

language = "English (US)",

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journal = "Journal of Gastrointestinal Surgery",

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T1 - Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis

AU - Mullen, Matthew G.

AU - Cullen, J. Michael

AU - Michaels, Alex D.

AU - Hedrick, Traci L.

AU - Friel, Charles M.

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) allows restoration of continence in select patients with ulcerative colitis but is associated with significant morbidity. Well-known complications following IPAA include pouchitis, anastomotic leak, and small bowel obstruction. Obstruction secondary to ileal pouch volvulus is exceedingly rare. We report a case of ileal pouch volvulus, which occurred secondary to internal hernia. Radiographic and endoscopic identification of volvulus allowed for early operative management and pouch salvage.

AB - Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) allows restoration of continence in select patients with ulcerative colitis but is associated with significant morbidity. Well-known complications following IPAA include pouchitis, anastomotic leak, and small bowel obstruction. Obstruction secondary to ileal pouch volvulus is exceedingly rare. We report a case of ileal pouch volvulus, which occurred secondary to internal hernia. Radiographic and endoscopic identification of volvulus allowed for early operative management and pouch salvage.

KW - Ileal pouch

KW - J-pouch

KW - Ulcerative colitis

KW - Volvulus

UR - https://www.scopus.com/pages/publications/84949504340

UR - https://www.scopus.com/pages/publications/84949504340#tab=citedBy

U2 - 10.1007/s11605-015-3038-2

DO - 10.1007/s11605-015-3038-2

M3 - Article

C2 - 26643297

AN - SCOPUS:84949504340

SN - 1091-255X

VL - 20

SP - 1072

EP - 1073

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

IS - 5

ER -

Ileal J-Pouch Volvulus Following Total Proctocolectomy for Ulcerative Colitis

Abstract

Keywords

ASJC Scopus subject areas

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