Abstract
Total restorative proctocolectomy with ileal pouch-anal anastomosis (RP/IPAA) has become the standard of care for the surgical treatment of ulcerative colitis. Despite its correlation with an excellent quality of life and favorable long-term outcomes, RP/IPAA has been associated with several complications. Prolapse of the ileoanal pouch is a rare and debilitating complication that should be considered in the differential diagnosis of pouch failure. Limited data exist regarding the prevalence and treatment of pouch prolapse. We present the case of a recurrent J-pouch prolapse treated with a novel minimally invasive “salvage” approach involving a robotic-assisted laparoscopic rectopexy with mesh.
Highlights
Surgical intervention is required in 30%–40% of patients with chronic ulcerative colitis (UC) [1]
We present the case of a recurrent J-pouch prolapse treated with an innovative robotic-assisted laparoscopic “salvage” procedure
Restorative proctocolectomy with ileal pouch-anal anastomosis is an important treatment modality for patients suffering from refractory UC
Summary
Surgical intervention is required in 30%–40% of patients with chronic ulcerative colitis (UC) [1]. Restorative proctocolectoy with IPAA restores bowel continuity with preservation of anorectal continence [3, 4], and is associated with improved quality of life and favorable long-term outcomes [5, 6]. Even so, this procedure has been associated with significant complications of the pouch itself, including pouchitis, stricture, obstruction, and pouch failure [7,8,9]. We present the case of a recurrent J-pouch prolapse treated with an innovative robotic-assisted laparoscopic “salvage” procedure
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