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Symptomatic Long Residual Rectal Cuff Status Post J-Pouch

  • Anuradha R. Bhama
  • Scott R. Steele
Chapter

Abstract

Leaving too long of a rectal cuff with a total proctocolectomy and J-pouch can lead to problems associated with residual inflammation (cuffitis) and emptying problems. This chapter will evaluate what to do in the patient with the long residual rectal cuff.

Keywords

Cuffitis Rectal cuff IPAA Pouch 

Suggested Reading

  1. 1.
    Fazio VW, Tjandra JJ. Transanal Mucosectomy – ileal pouch advancement for anorectal dysplasia or inflammation after restorative proctocolectomy. Dis Colon Rectum. 1994;37(10):1008–11.CrossRefGoogle Scholar
  2. 2.
    Litzendorf ME, et al. Completion mucosectomy for retained rectal mucosa following restorative proctocolectomy with double-stapled Ileal pouch-anal anastomosis. J Gastrointest Surg. 2010;14(3):562–9.CrossRefGoogle Scholar
  3. 3.
    Ramirez RL, Fleshner P. Reoperative inflammatory bowel disease surgery. Clin Colon Rectal Surg. 2006;19(4):195–206.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Anuradha R. Bhama
    • 1
  • Scott R. Steele
    • 1
    • 2
  1. 1.Department of Colorectal SurgeryCleveland ClinicClevelandUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA

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