The failed pelvic pouch: conversion to a continent ileostomy

1 August 2004

journal article
Published by Springer Nature in Techniques in Coloproctology

Vol. 8 (2) , 102-105
https://doi.org/10.1007/s10151-004-0065-5

Abstract

Excision of the ileal pouch–anal anastomosis (IPAA) with construction of a conventional ileostomy is in general the ultimate procedure after unsuccessful salvage surgery. Conversion of the IPAA to a continent ileostomy (CI) is an alternative. The clinical outcome of 13 patients operated with conversion of IPAA into CI was evaluated. Median follow-up was 6 years. One patient was lost to follow–up. There were two failures with pouch excision. At follow–up, ten patients with intact CI were fully continent and none needed to use a stoma appliance. Revisional surgery had been required in 8 patients. Conversion of a failed IPAA into CI is a feasible procedure that may be considered an alternative to Brooke’s ileostomy in motivated patients. The operation should ideally be done in specialized units.

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