A stapled S-shaped ileoanal reservoir

Authors:
  • HSH. Stern
    H. Stern
  • MBM. Bernstein
    M. Bernstein
  • SKS. Killam
    S. Killam
  • ZCZ. Cohen
    Z. Cohen
  • RMR. McLeod
    R. McLeod
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Abstract
An S-shaped ileoanal reservoir has the advantage of greater ease in obtaining adequate length for safe anastomosis vs. the J-pouch. The hand-sewn S-shaped pouch, however, takes considerably longer (70 vs. 20 minutes) to construct than either a hand-sewn or stapled J-pouch. Because of potential necrosis of the central bridge of tissue created between two longitudinal stapled lines in an S-pouch, the same techniques of stapling a J-pouch cannot be used in an S-pouch. The authors have developed a safe, rapid, stapling technique for construction of an S-pouch in the dog and have used it with success in four patients.

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