Abstract
The ileoanal pouch is the cornerstone of intestinal reconstruction after proctocolectomy in patients with ulcerative colitis, familial adenomatous polyposis, and selected other diseases of the colorectum. With successful surgery, patients are able to avoid a conventional lifelong ileostomy and maintain a satisfying quality of life with acceptable bowel function. Complications during surgery or convalescence, however, may affect function of the ileoanal pouch and require pouch revision or even excision, if quality of life is significantly compromised. Selecting patients suitable for the ileoanal pouch procedure and properly performing the technical aspects of the surgery are two challenging feats that have a direct impact on outcomes and quality of life in this population. This section focuses on strategies to evaluate and select the correct patient for the ileoanal pouch procedure, and how to surgically optimize a patient that has been selected as an appropriate candidate. In addition, proper surgical technique of proctocolectomy with ileal pouch reconstruction is discussed.
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