Laparoscopic ileopexy for afferent limb syndrome after ileal pouch-anal anastomosis

Yoshiki Okita, Toshimitsu Araki, Junichiro Hiro, Satoru Kondo, Hiroyuki Fujikawa, Shigeyuki Yoshiyama, Mikihiro Inoue, Yuji Toiyama, Minako Kobayashi, Masaki Ohi, Yasuhiro Inoue, Keiichi Uchida, Yasuhiko Mohri, Masato Kusunoki

研究成果: ジャーナルへの寄稿学術論文査読

2 被引用数 (Scopus)

抄録

Afferent limb syndrome (ALS) is caused by an obstruction of the afferent intestinal limb after ileal pouch-anal anastomosis. Here, we describe the first case of ALS to be successfully treated by a laparoscopic approach. A 27-year-old man underwent ileal pouch-anal anastomosis for ulcerative colitis. He was subsequently diagnosed with ALS and underwent ileopexy with laparotomy at 33 years old. Then, 21 months after the first ileopexy, he underwent laparoscopic ileopexy for ALS recurrence. The operative findings revealed a shortened fixed portion of the afferent limb adhering to the right pelvic retroperitoneum, which was regarded as the cause of the acute angulation. The portion of the afferent limb fixed to the abdominal wall was extended under laparoscopic visualization by suturing above the level of the iliac crest. At the 12-month follow-up, the patient remained free of symptoms of obstruction. Laparoscopic ileopexy should be the procedure of choice for patients with ALS.

本文言語英語
ページ(範囲)424-426
ページ数3
ジャーナルAsian journal of endoscopic surgery
10
4
DOI
出版ステータス出版済み - 01-11-2017
外部発表はい

All Science Journal Classification (ASJC) codes

  • 医学一般

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