{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T04:00:19Z","timestamp":1761796819528,"version":"build-2065373602"},"reference-count":13,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Straight ileo\u2010anal anastomosis in patients undergoing proctocolectomy for ulcerative colitis or familial adenomatous polyposis is associated with diarrhea, incontinence, and anal excoriation. Techniques to improve function include takedown of the ileo\u2010anal anastomosis with construction of a pouch and redo ileal pouch\u2013anal anastomosis, or multiple ileal myotomies. Here is a technique for augmenting the ileum without taking down the ileo\u2010anal anastomosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact of Innovation<\/jats:title>\n                    <jats:p>Improves function in patients with straight ileo\u2010anal anastomosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The apex of redundancy in the loop of distal ileum is pulled down toward the pelvis alongside the ileum going down to the anastomosis, and an S pouch is created. The apex of the loop is placed as close to the existing ileo\u2013anal anastomosis as possible. A diverting ileostomy is constructed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Preliminary Results<\/jats:title>\n                    <jats:p>Four male patients with familial polyposis underwent this procedure. All recovered without complication, retained their S pouch, and noted improved function. One patient seen after formation and immediate excision of a J pouch underwent straight ileo\u2013anal anastomosis with immediate construction of an augmentation S. There were no complications. Function is acceptable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Future Directions<\/jats:title>\n                    <jats:p>Augmenting the terminal ileum above a straight ileo\u2010anal anastomosis without disturbing the anastomosis is possible and may allow the patients to avoid a permanent ileostomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70178","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T08:13:37Z","timestamp":1751012017000},"page":"2219-2221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Augmentation Pouch: Adding an S Pouch to a Straight Ileal\u2013Anal Anastomosis"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3489-4140","authenticated-orcid":false,"given":"James","family":"Church","sequence":"first","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery &amp; IBD Interventional Endoscopy Columbia University Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Liska","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic Foundation  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"888","article-title":"Sitzungs berichte der Berliner Gesellschaft fuer Chirur\u2010gievom 14","volume":"15","author":"Nissen R.","year":"1933","journal-title":"Zentralblatt f\u00fcr Chirurgie"},{"key":"e_1_2_4_3_1","first-page":"1095","article-title":"Anal Ileostomy With Preservation of the Sphincter: A Proposed Operation in Patients Requiring Total Colectomy for Benign Lesions","volume":"84","author":"Ravitch M.","year":"1947","journal-title":"Surgery, Gynecology & Obstetrics"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197710000-00009"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198807000-00007"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1983.01390060018004"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198310000-00006"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1969.01340140095014"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6130.85"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003840050102"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s101510200040"},{"key":"e_1_2_4_12_1","first-page":"463","article-title":"Ileal Pouch\u2010Anal Anastomosis After Failure of Straight Ileoanal Anastomosis. Case Report","volume":"153","author":"B\u00fclow S.","year":"1987","journal-title":"Acta Chirurgica Scandinavica"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-003-0003-z"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000299"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:57:00Z","timestamp":1761796620000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,27]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/ans.70178"],"URL":"https:\/\/doi.org\/10.1111\/ans.70178","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2025,6,27]]},"assertion":[{"value":"2025-03-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}