Endoscopic treatment of leak at the tip of the “J” ileal pouch
Background and study aims The tip of the “J” of the ileal pouch is the vulnerable location for leak after restorative proctocolectomy, which has normally been treated with surgery. We aimed to describe a novel endoscopic method to treat the...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2017-01-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121664 |
| _version_ | 1818327915598708736 |
|---|---|
| author | Gursimran Singh Kochhar Bo Shen |
| author_facet | Gursimran Singh Kochhar Bo Shen |
| author_sort | Gursimran Singh Kochhar |
| collection | DOAJ |
| description | Background and study aims The tip of the “J” of the ileal pouch is the
vulnerable location for leak after restorative proctocolectomy, which has
normally been treated with surgery. We aimed to describe a novel endoscopic
method to treat the same.
Patients and methods A cohort of 12 consecutive patients with a leak at
the tip of the “J” was identified in our prospectively maintained Pouch
Registry. The endoscopic over-the-scope clipping (OTSC) system was used for the
closure of the leak.
Results Eight patients (66.6 %) achieved complete closure of the leak
documented by endoscopy confirmed with guidewire and/or contrasted pouchogram,
with 6 requiring a single endoscopic session and 2 undergoing a repeat session.
Four patients (33.3 %) had a persistent leak and required surgical intervention,
of whom 1 developed abscess in the pre-spine region 14 days after the endoscopic
procedure and underwent pouch revision surgery.
Conclusions OSTC appears to be safe and effective in treating the leak at
the tip of the “J” in the majority of
patients. |
| first_indexed | 2024-12-13T12:23:51Z |
| format | Article |
| id | doaj.art-1b2cd50e540745f0b544ee36920d550d |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-13T12:23:51Z |
| publishDate | 2017-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-1b2cd50e540745f0b544ee36920d550d2022-12-21T23:46:30ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362017-01-010501E64E6610.1055/s-0042-121664Endoscopic treatment of leak at the tip of the “J” ileal pouchGursimran Singh Kochhar0Bo Shen1The Interventional IBD Unit, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, Ohio, United StatesThe Interventional IBD Unit, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, Ohio, United StatesBackground and study aims The tip of the “J” of the ileal pouch is the vulnerable location for leak after restorative proctocolectomy, which has normally been treated with surgery. We aimed to describe a novel endoscopic method to treat the same. Patients and methods A cohort of 12 consecutive patients with a leak at the tip of the “J” was identified in our prospectively maintained Pouch Registry. The endoscopic over-the-scope clipping (OTSC) system was used for the closure of the leak. Results Eight patients (66.6 %) achieved complete closure of the leak documented by endoscopy confirmed with guidewire and/or contrasted pouchogram, with 6 requiring a single endoscopic session and 2 undergoing a repeat session. Four patients (33.3 %) had a persistent leak and required surgical intervention, of whom 1 developed abscess in the pre-spine region 14 days after the endoscopic procedure and underwent pouch revision surgery. Conclusions OSTC appears to be safe and effective in treating the leak at the tip of the “J” in the majority of patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121664 |
| spellingShingle | Gursimran Singh Kochhar Bo Shen Endoscopic treatment of leak at the tip of the “J” ileal pouch Endoscopy International Open |
| title | Endoscopic
treatment of leak at the tip of the “J” ileal
pouch |
| title_full | Endoscopic
treatment of leak at the tip of the “J” ileal
pouch |
| title_fullStr | Endoscopic
treatment of leak at the tip of the “J” ileal
pouch |
| title_full_unstemmed | Endoscopic
treatment of leak at the tip of the “J” ileal
pouch |
| title_short | Endoscopic
treatment of leak at the tip of the “J” ileal
pouch |
| title_sort | endoscopic treatment of leak at the tip of the j ileal pouch |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-121664 |
| work_keys_str_mv | AT gursimransinghkochhar endoscopictreatmentofleakatthetipofthejilealpouch AT boshen endoscopictreatmentofleakatthetipofthejilealpouch |