ILEOANAL ANASTOMOSIS WITH PELVIC POUCH - SHORT REVIEW

Pelvic pouch surgery is still a rather new technique, but has been dev eloped considerably over the years. The construction of J-shaped pouch es and ileoanal anastomoses with a total stapling technique has meant considerable progress in the operative procedure compared to the metho d including mucosal proctectomy en bloc with excision of the rectum an d colon, handsewn pouches, and handsewn ileoanal anastomoses. Omission of a deviating loop ileostomy saves the patient another operation, ho spital stay and sick leave. Development of malignancy in an atrophic p ouch mucosa cannot be ruled out. Careful surveillance of all patients at the operating clinic is therefore necessary.