{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T17:20:56Z","timestamp":1772817656809,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Ileal pouch anal anastomosis (IPAA) circumferential pouch advancement (CPA) involves full-thickness transanal 180\u2013360\u00b0 dissection of the distal pouch, allowing the advancement of healthy bowel to cover the internal opening of a\u00a0vaginal fistula. We aimed to describe the long-term outcomes of this rare procedure.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients with IPAA who underwent transanal pouch advancement for any indication between 2009 and 2021 were included. Demographics, operative details, and outcomes were reviewed. An early fistula was defined as occurring within 1\u00a0year of IPAA construction. Clinical success was defined as resolution of symptoms necessitating CPA, pouch retention, and no stoma at the time of follow-up. Figures represent the median (interquartile range) or frequency (%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Over a 12-year period, nine patients were identified; the median age at CPA was 41 (36\u201344) years. Four patients developed early fistula after index IPAA, and five developed late fistulae. The median number of fistula repair procedures prior to CPA was 2 (1\u20132). All patients were diagnosed with ulcerative colitis at the time of IPAA and all late patients were re-diagnosed with Crohn\u2019s disease. Four (44.4%) patients had ileostomies present at the time of surgery, three (33.3%) had one constructed during surgery, and two (22.2%) never had a stoma. The median follow-up time was 11 (6\u201324) months. Clinical success was achieved in four of the nine (44.4%) patients at the time of the last follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Transanal circumferential pouch advancement was an effective treatment for refractory pouch vaginal fistulas and may be offered to patients who have had previous attempts at repair.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10151-024-02983-7","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T06:02:41Z","timestamp":1723615361000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Transanal circumferential pouch advancement for treatment of pouch vaginal fistulae"],"prefix":"10.1007","volume":"28","author":[{"given":"M.","family":"Obi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Klingler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Sapci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Lavryk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Lipman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. R.","family":"Steele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Hull","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. D.","family":"Holubar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"issue":"1","key":"2983_CR1","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1111\/codi.15318","volume":"23","author":"M Machin","year":"2021","unstructured":"Machin M, Younan HC, Slesser AAP, Mohsen Y (2021) Systematic review on the management of ileoanal pouch-vaginal fistulas after restorative proctocolectomy in the treatment of ulcerative colitis. Colorectal Dis 23(1):34\u201351","journal-title":"Colorectal Dis"},{"issue":"3","key":"2983_CR2","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1016\/j.dld.2022.05.009","volume":"55","author":"G Pellino","year":"2023","unstructured":"Pellino G, Celentano V, Vinci D et al (2023) Ileoanal pouch-related fistulae: a systematic review with meta-analysis on incidence, treatment options and outcomes. Dig Liver Dis 55(3):342\u2013349","journal-title":"Dig Liver Dis"},{"issue":"9","key":"2983_CR3","doi-asserted-by":"publisher","first-page":"1802","DOI":"10.1007\/s10350-005-0079-8","volume":"48","author":"S Lolohea","year":"2005","unstructured":"Lolohea S, Lynch AC, Robertson GB, Frizelle FA (2005) Ileal pouch-anal anastomosis-vaginal fistula: a review. Dis Colon Rectum 48(9):1802\u20131810","journal-title":"Dis Colon Rectum"},{"issue":"5","key":"2983_CR4","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1097\/DCR.0000000000001313","volume":"62","author":"I Sapci","year":"2019","unstructured":"Sapci I, Akeel N, DeLeon MF, Stocchi L, Hull T (2019) What is the best surgical treatment of pouch-vaginal fistulas? Dis Colon Rectum 62(5):595\u2013599","journal-title":"Dis Colon Rectum"},{"issue":"6","key":"2983_CR5","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1016\/j.jamcollsurg.2006.02.014","volume":"202","author":"S Tsujinaka","year":"2006","unstructured":"Tsujinaka S, Ruiz D, Wexner SD et al (2006) Surgical management of pouch-vaginal fistula after restorative proctocolectomy. J Am Coll Surg 202(6):912\u2013918","journal-title":"J Am Coll Surg"},{"issue":"10","key":"2983_CR6","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1007\/BF02049314","volume":"37","author":"VW Fazio","year":"1994","unstructured":"Fazio VW, Tjandra JJ (1994) Transanal mucosectomy\u2014ileal pouch advancement for anorectal dysplasia or inflammation after restorative proctocolectomy. Dis Colon Rectum 37(10):1008\u20131011","journal-title":"Dis Colon Rectum"},{"issue":"9","key":"2983_CR7","doi-asserted-by":"publisher","first-page":"1310","DOI":"10.1007\/BF02234789","volume":"44","author":"O Zmora","year":"2001","unstructured":"Zmora O, Efron JE, Nogueras JJ, Weiss EG, Wexner SD (2001) Reoperative abdominal and perineal surgery in ileoanal pouch patients. Dis Colon Rectum 44(9):1310\u20131314","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"2983_CR8","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1007\/s10350-004-6491-7","volume":"46","author":"M Prudhomme","year":"2003","unstructured":"Prudhomme M, Dozois RR, Godlewski G, Mathison S, Fabbro-Peray P (2003) Anal canal strictures after heal pouch-anal anastomosis. Dis Colon Rectum 46(1):20\u201323","journal-title":"Dis Colon Rectum"},{"issue":"4","key":"2983_CR9","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1097\/DCR.0000000000000094","volume":"57","author":"IH Mallick","year":"2014","unstructured":"Mallick IH, Hull TL, Remzi FH, Kiran RP (2014) Management and outcome of pouch-vaginal fistulas after IPAA surgery. Dis Colon Rectum 57(4):490\u2013496","journal-title":"Dis Colon Rectum"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-024-02983-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-024-02983-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-024-02983-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T22:04:21Z","timestamp":1733954661000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10151-024-02983-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,14]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["2983"],"URL":"https:\/\/doi.org\/10.1007\/s10151-024-02983-7","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,14]]},"assertion":[{"value":"17 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"SDH is a consultant for Takeda and a recipient of Crohn\u2019s & Colitis Foundation and American Society of Colorectal Surgeons grants. The remaining authors have no disclosures. The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"105"}}