Endoscopic plication for the treatment of twisted pouch  

作　　者：Bo Shen 

机构地区：[1]Center for Inflammatory Bowel Disease and the Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy,Columbia University Irving Medical Center/New York Presbyterian Hospital,New York,NY,USA

出　　处：《Gastroenterology Report》2024年第1期836-838,共3页胃肠病学报道(英文)

摘　　要：Introduction Restorative proctocolectomy with ileal pouch-anal anastomosis(IPAA)is a preferred surgical procedure for patients after colectomy for medically refractory ulcerative colitis(UC),-associated colitis,or familial adenomatous polyposis.While the stoma-avoiding procedure improves patients’health-related quality of life,structural and inflammatory adverse sequelae are common.Floppy pouch complex is one of the common structural complications of ileal pouch[1].Twisted pouch or pouch volvulus is a clinical phenotype of floppy pouch complex[2,3].Pouchoscopy and pouchogram are the main modalities for the diagnosis[4,5].Twisted pouch has traditionally been treated with surgical de-rotation,pexy,pouch redo,or excision[2,6-8].Patients are at risk of postoperative recurrence or pouch excision[4,5].Less invasive,endoscopic approaches have been performed for the treatment of twisted pouches such as septectomy[9].Here we described the first case in the literature in which symptomatic twisted pouch was successfully treated with endoscopic plication.

关 键 词：DIAGNOSIS TWISTED TREATMENT 

分 类 号：R57[医药卫生—消化系统]