RT Book, Section
A1 Silver, David F.
A1 Khulpateea, Beman
A2 Bristow, Robert E.
A2 Chi, Dennis S.
SR Print(0)
ID 1179986266
T1 Ileal Pouch Anal Anastomosis
T2 Radical and Reconstructive Gynecologic Cancer Surgery
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071808095
LK hemonc.mhmedical.com/content.aspx?aid=1179986266
RD 2024/04/19
AB The  ileal  pouch  anal  anastomosis  (IPAA)  procedure,  also  known  as  ileoanal  anastomosis  or  restorative  proctocolectomy,  was  developed  in  the  1970s  by  Sir  Alan  Parks  in  London.  It  was  offered  as  an  alternative  to  performing  a  Brooke  end  ileostomy  for  patients  who  underwent  total  colectomies  for  a  variety  of  diagnoses,  most  commonly  inflammatory  bowel  disease.1,2  The  Parks’  procedure  offered  important  advantages  over  the  previously  used  ileoanal  end-to-end  anastomosis  (without  a  pouch  reservoir),  which  resulted  in  poor  functional  outcomes,  including  higher  fecal  frequency,  urgency,  and  incontinence  rates.3-5  With  the  addition  of  a  pouch  that  serves  as  a  lower  pressure  reservoir,  patients  are  offered  the  quality-of-life  advantage  of  restoring  the  continuity  of  their  intestinal  tracts,  which  obviates  the  need  for  permanent  abdominal  wall  stomas  (and  ostomy  appliances).  When  performed  on  properly  selected  patients,  high  rates  of  fecal  continence  and  patient  satisfaction  can  be  expected.6,7