A5002476265- Colorectal Cancer Surgical Treatments
- Diverticular Disease and Complications
- Inflammatory Bowel Disease
- Anorectal Disease Treatments and Outcomes
- Stoma care and complications
- Colorectal Cancer Screening and Detection
- Microscopic Colitis
- Pelvic floor disorders treatments
- Gastrointestinal disorders and treatments
- Genetic factors in colorectal cancer
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Urological Disorders and Treatments
- Autoimmune and Inflammatory Disorders
- Colorectal and Anal Carcinomas
- Enhanced Recovery After Surgery
- Eosinophilic Esophagitis
- Hernia repair and management
- Esophageal and GI Pathology
- Bariatric Surgery and Outcomes
- Parathyroid Disorders and Treatments
- Genetic Syndromes and Imprinting
- Biliary and Gastrointestinal Fistulas
- Dysphagia Assessment and Management
- Musculoskeletal Disorders and Rehabilitation
Cleveland Clinic
2016-2025
American Society of Colon and Rectal Surgeons
2023
Twitter (United States)
2023
Shaker Heights Public Library
2022
Shupyk National Healthcare University of Ukraine
2017
National Academy of Medical Sciences of Ukraine
2016
Abstract Aim Surgical technique constantly evolves in response to the pressure of progress. Ileal pouch anal anastomosis (IPAA) is a good example. We analysed effect changes practice on IPAA and its outcomes. Method Patients undergoing primary at this institution were divided into three groups by date IPAA: those operated from 1983 1993, 1994 2004 2005 2015. Demographics, patient comorbidity, surgical techniques, postoperative outcomes, function quality life analysed. Results In all, 4525...
Abstract Background Patient-reported outcomes (PROs) after ileoanal pouch (IPAA) salvage with redo procedures are known to be worse compared primary (index) surgery. Although failure is associated decreased function and quality of life (QoL), PROs prior IPAA have not been reported. We aimed report on PRO before IPAA. hypothesized that improved life. Methods Our registry was queried for adults who underwent between 1984 2024, had at least one survey Pouch surveys were mailed all patients...
Abstract Background Traditionally, perianal skin tag excision has been contraindicated in patients with Crohn’s disease (CD) owing to risk of non-healing wounds. However, little data exists on this topic. We aimed review our institutional experience outcomes after CD. hypothesized that CD would be associated Methods retrospectively reviewed adults who underwent or without limited excisional hemorrhoidectomy at center between 2012 and 2024. Demographics, characteristics, medications,...
Abstract Background Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the standard operative treatment for patients medically refractory inflammatory bowel disease or familial adenomatous polyposis requiring colectomy. In who develop malignancy after IPAA, chemoradiation has been shown to increase risk of pouch failure in small studies. We aimed describe survival underwent surgery gynecologic (GYN-Ca). Methods retrospectively reviewed adults IPAA and developed cancer...
Abstract BACKGROUND Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the standard operative treatment for patients medically refractory inflammatory bowel disease or familial adenomatous polyposis requiring colectomy. In who develop malignancy after IPAA, chemoradiation has been shown to increase risk of pouch failure in small studies. We aimed review our institutional experience survival gynecologic surgery malignancy, expecting that presence would be associated higher...
Abstract Traditionally, perianal skin tag excision has been contraindicated in patients with Crohn’s disease (CD) owing to risk of non-healing wounds. However, little data exists on this topic. We aimed review our institutional experience outcomes after CD. hypothesized that CD would be associated retrospectively reviewed adults who underwent or without limited excisional hemorrhoidectomy at center between 2012 and 2024. Demographics, characteristics, medications, operative data, pathology,...
Abstract BACKGROUND Rarely, when ileoanal pouches (IPAA) are constructed using a mid-pouch enterotomy to fire the pouch body staple lines, full-thickness septum of undivided tissue at apex may result. Patients with septa develop symptoms outlet obstruction and benefit from endoscopic or surgical septotomy. We aimed describe our institutional experience interventions for symptomatic septa. METHODS conducted retrospective study utilizing natural language processing (NLP) search electronic...
To compare the effect of liver transplantation (LT) on ileal pouch-anal anastomosis (IPAA) outcomes in patients with primary sclerosing cholangitis and inflammatory bowel disease (PSC-IBD).Patients PSC-IBD may require both IPAA for colitis LT PSC.Patients from out institutional pouch registry (1985-2022) were divided according to status timing (before after IPAA) their analyzed.A total 160 included: 112 (70%) nontransplanted at last follow-up; 48 (30%) transplanted, which 23 (14%) before 25...
In selected patients with ulcerative colitis and pelvic pouch failure, redo is an option. However, it unknown whether Crohn's disease should be offered a chance to avoid permanent diversion after failure of IPAA.The objective was compare the outcomes for disease.This retrospective analysis prospectively maintained database (1983-2017).The setting Cleveland Clinic.This study included who underwent primary surgical specimen diagnosis or at time initial pouch.Pouch defined as either excision...
Minimally invasive approaches to proctocolectomy with ileal pouch anal anastomosis have become the standard of care one benefit being reduced risk adhesion-related complications. However, a lack adherence pelvis can lead increased mobility as well volvulization, placing viability at risk. We aimed describe our institutional experience volvulus.Patients who presented volvulus from 1983 2020 were identified through search pelvic registry and enterprise-wide electronic medical record. Pouch was...
BACKGROUND: Nonspecific acute pouchitis is common in patients with ulcerative colitis who undergo IPAA, but there disagreement about the rate at which this occurs familial adenomatous polyposis. OBJECTIVE: This study aimed to define nonspecific SETTING: was conducted a hereditary colorectal cancer center large academic medical center. DESIGN: retrospective cohort using prospectively gathered data. PATIENTS: Patients polyposis have had IPAA were included. INTERVENTIONS: Symptoms, pouchoscopy...
The Turnbull-Cutait pull-through procedure (TCO) restores intestinal continuity in the setting of chronic pelvic sepsis, colorectal anastomotic leak, complex fistulas and technical challenges related to complicated rectal cancer. aim this study was evaluate outcomes TCO for salvaging conditions compare it hand-sewn immediate coloanal anastomosis (CAA).This is a retrospective single-institution where we searched prospectively maintained database identify patients who underwent TCO. Patient...
Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the treatment of choice for colorectal cancer (CRC) in inflammatory bowel disease. CRC may also be discovered incidentally at IPAA other indications. We sought to determine whether found was associated worse outcomes.
Herein, we present a proof-of-concept study of three-dimensional [3D] pouchography using virtual and printed 3D models ileal pouch-anal anastomosis [IPAA] in patients with normal pouches cases mechanical pouch complications.