Ileum Becomes Ischemic Due to Torsion During J-Pouch Creation

  • Sang W. Lee


Torsion of small bowel mesentery may occur during IPAA. Attempts to blindly de-torse the small bowel mesentery can further exacerbate the situation. The most definitive way to reorient is to run the entire length of the small bowel from the ligament of Treitz to the terminal ileum.


IPAA Torsion of small bowel Bowel ischemia 

Suggested Reading

  1. 1.
    Kirat HT, Remzi FH. Technical aspects of ileoanal pouch surgery in patients with ulcerative colitis. Clin Colon Rectal Surg. 2010;23(4):239–47.CrossRefGoogle Scholar
  2. 2.
    Nivatvongs S. Ulcerative colitis. In: Gordon PH, Nivatvongs S, editors. Principles and practice of surgery for the colon, rectum, and anus. 3rd ed. Boca Raton: Taylor and Francis Group; 2007.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sang W. Lee
    • 1
  1. 1.Department of Surgery – Colon and Rectal SurgeryKeck School of Medicine of University of Southern CaliforniaLos AngelesUSA

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