Ryoo SB, Oh HK, Han EC, Ha HK, Moon SH, Choe EK, Park KJ. Complications after ileal pouch-anal anastomosis in Korean patients with ulcerative colitis. World J Gastroenterol 2014; 20(23): 7488-7496 [PMID: 24966620 DOI: 10.3748/wjg.v20.i23.7488]
Corresponding Author of This Article
Kyu Joo Park, MD, PhD, Professor, Division of Colorectal Surgery, Department of Surgery, Seoul National University College of Medicine, 101 Daehak-ro, Jongro-gu, Seoul 110-744, South Korea. kjparkmd@plaza.snu.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
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World J Gastroenterol. Jun 21, 2014; 20(23): 7488-7496 Published online Jun 21, 2014. doi: 10.3748/wjg.v20.i23.7488
Complications after ileal pouch-anal anastomosis in Korean patients with ulcerative colitis
Seung-Bum Ryoo, Heung-Kwon Oh, Eon Chul Han, Heon-Kyun Ha, Sang Hui Moon, Eun Kyung Choe, Kyu Joo Park
Seung-Bum Ryoo, Heung-Kwon Oh, Eon Chul Han, Heon-Kyun Ha, Sang Hui Moon, Eun Kyung Choe, Kyu Joo Park, Division of Colorectal Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul 110-744, South Korea
Eun Kyung Choe, Healthcare Research Institute, Seoul National University Hospital Healthcare System Gangnam Center, Seoul 135-984, South Korea
Author contributions: Ryoo SB and Park KJ conceived and designed the study; Ryoo SB, Oh HK, Ha HK, Moon SH, Choe EK and Park KJ conducted the research; Ryoo SB, Han EC and Ha HK collected and analyzed the data; Ryoo SB and Park KJ drafted the manuscript; Ryoo SB, Oh HK, Han EC, Moon SH, Choe EK and Park KJ reviewed and modified the manuscript.
Correspondence to: Kyu Joo Park, MD, PhD, Professor, Division of Colorectal Surgery, Department of Surgery, Seoul National University College of Medicine, 101 Daehak-ro, Jongro-gu, Seoul 110-744, South Korea. kjparkmd@plaza.snu.ac.kr
Telephone: +82-2-20722901 Fax: +82-2-7663975
Received: January 14, 2014 Revised: March 17, 2014 Accepted: May 23, 2014 Published online: June 21, 2014 Processing time: 157 Days and 22.5 Hours
Core Tip
Core tip: There has been a recent increase in the number of ileal pouch-anal anastomosis (IPAA) procedures conducted to treat ulcerative colitis in Asian countries, including Korea. However, the reports on the outcomes of IPAA have been lacking. This study investigated the treatment outcomes for complications associated with ileal pouch formation, including pouch failure. The early postoperative complications included pouch bleeding, pelvic abscess, and anastomosis rupture. The late complications included pouchitis, pouch-vaginal fistula, perianal abscess or fistula, and anastomosis stricture. The post IPAA complications were treatable either medically or surgically with a lower pouch failure rate than previously reported from Western countries.
