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A stapled S-shaped ileoanal reservoir.

Authors
  • Stern, H
  • Bernstein, M
  • Killam, S
  • Cohen, Z
  • McLeod, R
Type
Published Article
Journal
Diseases of the colon and rectum
Publication Date
Mar 01, 1987
Volume
30
Issue
3
Pages
214–219
Identifiers
PMID: 3829867
Source
Medline
License
Unknown

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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