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Colorectal Surgery Consultation pp 175–177Cite as

Ileum Becomes Ischemic Due to Torsion During J-Pouch Creation

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Abstract

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.

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Suggested Reading

  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.

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  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.

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Author information

Authors and Affiliations

  1. Department of Surgery – Colon and Rectal Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA

    Sang W. Lee

Authors
  1. Sang W. Lee
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Editor information

Editors and Affiliations

  1. Keck School of Medicine of University of Southern California, Los Angeles, CA, USA

    Sang W. Lee

  2. Cleveland Clinic, Cleveland, OH, USA

    Scott R. Steele

  3. Columbia University, New York, NY, USA

    Daniel L. Feingold

  4. Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    Howard M. Ross

  5. Hofstra-Northwell School of Medicine, Woodbury, NY, USA

    David E. Rivadeneira

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Lee, S.W. (2019). Ileum Becomes Ischemic Due to Torsion During J-Pouch Creation. In: Lee, S., Steele, S., Feingold, D., Ross, H., Rivadeneira, D. (eds) Colorectal Surgery Consultation. Springer, Cham. https://doi.org/10.1007/978-3-030-11181-6_41

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  • DOI: https://doi.org/10.1007/978-3-030-11181-6_41

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11180-9

  • Online ISBN: 978-3-030-11181-6

  • eBook Packages: MedicineMedicine (R0)

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