Anastomotic Leak after Ileal Pouch-Anal Anastomosis

Clin Colon Rectal Surg. 2021 Nov 23;34(6):417-425. doi: 10.1055/s-0041-1735274. eCollection 2021 Nov.

Abstract

There are special considerations when treating anastomotic leak after restorative proctocolectomy and ileal pouch-anal anastomosis. The epidemiology, risk factors, anatomic considerations, diagnosis and management, as well as the short- and long-term consequences to the patient are unique to this patent population. Additionally, there are specific concerns such as "tip of the J" leaks, transanal management of anastomotic leak/presacral sinus, functional outcomes after leak, and considerations of redo pouch procedures.

Keywords: AL; Crohn's colitis; complications; familial adenomatous polyposis; ileoanal pouch; surgery; ulcerative colitis.

Publication types

  • Review

Grants and funding

Funding None.