Clinical features and management of afferent limb syndrome after ileal pouch-anal anastomosis for ulcerative colitis

Purpose Afferent limb syndrome (ALS) is a type of small bowel obstruction (SBO) caused by obstruction of the afferent intestinal limb after ileal pouch-anal anastomosis (IPAA). The aim of this study was to reveal the clinical features and management of ALS. Methods Of 320 patients undergoing IPAA fo...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2016-10, Vol.46 (10), p.1159-1165
Main Authors: Okita, Yoshiki, Araki, Toshimitsu, Kawamura, Mikio, Kondo, Satoru, Inoue, Mikihiro, Kobayashi, Minako, Toiyama, Yuji, Ohi, Masaki, Tanaka, Koji, Inoue, Yasuhiro, Uchida, Keiichi, Mohri, Yasuhiko, Kusunoki, Masato
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anal Canal - surgery
Anastomosis, Surgical - adverse effects
Anastomosis, Surgical - methods
Colitis, Ulcerative - surgery
Colonic Pouches - adverse effects
Female
Humans
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine, Small
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - surgery
Proctocolectomy, Restorative - adverse effects
Retrospective Studies
Surgery
Surgical Oncology
Syndrome
Treatment Outcome
Young Adult
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Summary:Purpose Afferent limb syndrome (ALS) is a type of small bowel obstruction (SBO) caused by obstruction of the afferent intestinal limb after ileal pouch-anal anastomosis (IPAA). The aim of this study was to reveal the clinical features and management of ALS. Methods Of 320 patients undergoing IPAA for ulcerative colitis, we analyzed data from patients presenting with SBO. Results Six of 19 patients with SBO were diagnosed with ALS. All patients with ALS presented with recurrent intermittent obstructive symptoms before admission, whereas 15 % of patients without ALS presented with these symptoms ( P  
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-016-1307-7