Management of ileal pouch prolapse with endoscopic hot snare

Detalhes bibliográficos
Autor(a) principal: Wu,Xian-rui
Data de Publicação: 2013
Outros Autores: Liu,Xiu-li, Lan,Nan, Shen,Bo
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632013000200092
Resumo: Pouch prolapse is a complication following the creation of restorative proctocolectomy. There is a paucity of information in the literature pertaining to its management. An ileal J pouch patient with dyschezia presented to our Pouch Center. Under sedation, pouchoscopy was performed with a gastroscope. We detected an anterior distal pouch mucosal prolapse, 1.5 cm in diameter, blocking the anal canal. The prolapsed mucosa was excised with hot snare under a retroflex view. There was no bleeding or perforation. The entire procedure took 25 minutes. The patient tolerated the procedure well and was discharged home 30 minutes after post-procedural observation. The patient reported the resolution of the dyschezia symptom. The histopathological examination of excised specimen showed small bowel mucosa and sub-mucosa with changes compatible with mucosal prolapse. Endoscopic hot snare appears to be feasible in the management of pouch mucosal prolapse.
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spelling Management of ileal pouch prolapse with endoscopic hot snareEndoscopyHot snareIleal pouch anal anastomosisPouch prolapsePouch prolapse is a complication following the creation of restorative proctocolectomy. There is a paucity of information in the literature pertaining to its management. An ileal J pouch patient with dyschezia presented to our Pouch Center. Under sedation, pouchoscopy was performed with a gastroscope. We detected an anterior distal pouch mucosal prolapse, 1.5 cm in diameter, blocking the anal canal. The prolapsed mucosa was excised with hot snare under a retroflex view. There was no bleeding or perforation. The entire procedure took 25 minutes. The patient tolerated the procedure well and was discharged home 30 minutes after post-procedural observation. The patient reported the resolution of the dyschezia symptom. The histopathological examination of excised specimen showed small bowel mucosa and sub-mucosa with changes compatible with mucosal prolapse. Endoscopic hot snare appears to be feasible in the management of pouch mucosal prolapse.Sociedade Brasileira de Coloproctologia2013-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632013000200092Journal of Coloproctology (Rio de Janeiro) v.33 n.2 2013reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1590/S2237-93632013000200009info:eu-repo/semantics/openAccessWu,Xian-ruiLiu,Xiu-liLan,NanShen,Boeng2015-07-24T00:00:00Zoai:scielo:S2237-93632013000200092Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2015-07-24T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Management of ileal pouch prolapse with endoscopic hot snare
title Management of ileal pouch prolapse with endoscopic hot snare
spellingShingle Management of ileal pouch prolapse with endoscopic hot snare
Wu,Xian-rui
Endoscopy
Hot snare
Ileal pouch anal anastomosis
Pouch prolapse
title_short Management of ileal pouch prolapse with endoscopic hot snare
title_full Management of ileal pouch prolapse with endoscopic hot snare
title_fullStr Management of ileal pouch prolapse with endoscopic hot snare
title_full_unstemmed Management of ileal pouch prolapse with endoscopic hot snare
title_sort Management of ileal pouch prolapse with endoscopic hot snare
author Wu,Xian-rui
author_facet Wu,Xian-rui
Liu,Xiu-li
Lan,Nan
Shen,Bo
author_role author
author2 Liu,Xiu-li
Lan,Nan
Shen,Bo
author2_role author
author
author
dc.contributor.author.fl_str_mv Wu,Xian-rui
Liu,Xiu-li
Lan,Nan
Shen,Bo
dc.subject.por.fl_str_mv Endoscopy
Hot snare
Ileal pouch anal anastomosis
Pouch prolapse
topic Endoscopy
Hot snare
Ileal pouch anal anastomosis
Pouch prolapse
description Pouch prolapse is a complication following the creation of restorative proctocolectomy. There is a paucity of information in the literature pertaining to its management. An ileal J pouch patient with dyschezia presented to our Pouch Center. Under sedation, pouchoscopy was performed with a gastroscope. We detected an anterior distal pouch mucosal prolapse, 1.5 cm in diameter, blocking the anal canal. The prolapsed mucosa was excised with hot snare under a retroflex view. There was no bleeding or perforation. The entire procedure took 25 minutes. The patient tolerated the procedure well and was discharged home 30 minutes after post-procedural observation. The patient reported the resolution of the dyschezia symptom. The histopathological examination of excised specimen showed small bowel mucosa and sub-mucosa with changes compatible with mucosal prolapse. Endoscopic hot snare appears to be feasible in the management of pouch mucosal prolapse.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632013000200092
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632013000200092
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S2237-93632013000200009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.33 n.2 2013
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
institution SBCP
reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
repository.mail.fl_str_mv ||sbcp@sbcp.org.br
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