SIMPLE ILEAL J-POUCH CONSTRUCTION USING AN ENDOSCOPIC STAPLER

An easier method in constructing a J-pouch is described using an endos copic stapler. Although not designed for open procedures, the length o f this instrument allows the J-loop to slide up the device following e ach staple application. Close opposition of the antimesenteric borders of the ileum is thus more easily achieved, telescoping of the bowel i s avoided, and the enterostomy does not become unnecessarily enlarged.