{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T08:43:06Z","timestamp":1769244186208,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T00:00:00Z","timestamp":1535328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000863","name":"Bowel Disease Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000863","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The second Association of Coloproctology of Great Britain and Ireland (<jats:styled-content style=\"fixed-case\">ACPGBI<\/jats:styled-content>) Ileoanal Pouch Registry (<jats:styled-content style=\"fixed-case\">IPR<\/jats:styled-content>) report was released in July 2017 following a first report in 2012. This article provides a summary of data derived from the most recent <jats:styled-content style=\"fixed-case\">IPR<\/jats:styled-content> report (<jats:italic>2017 Ileoanal Pouch Report<\/jats:italic>. <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.acpgbi.org.uk\/content\/uploads\/2016\/07\/Ileoanal-Pouch-Report-2017-FINAL.compressed.pdf\">https:\/\/www.acpgbi.org.uk\/content\/uploads\/2016\/07\/Ileoanal-Pouch-Report-2017-FINAL.compressed.pdf<\/jats:ext-link>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">IPR<\/jats:styled-content> is an electronic database of voluntarily submitted data including patient demographics, disease, intra\u2010operative and postoperative factors submitted by consultant surgeons or delegates. Data up to 31 March 2017 have been analysed for this report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 5352 pouch operations were carried out at 76 <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> and four European centres by 154 surgeons over four decades. Recorded procedures have increased over time but data submission is voluntary and underestimates actual volume. Significant variation exists in institutional volume; 73 centres entered data on patients undergoing pouch surgery during the past 5 years. Of these, 44 centres have submitted \u2264 10 cases, with 10 centres submitting one patient and nine centres two cases. Since 2013, minimal access surgery has been employed in 54% of cases. Rectal dissection was undertaken in the total mesorectal excision plane in 69%. J\u2010pouch configuration was used in 99% of cases and 90% of pouch\u2013anal anastomoses were performed using a stapled technique. Including all years, the <jats:styled-content style=\"fixed-case\">IPR<\/jats:styled-content> rate of pelvic sepsis was 9.4% and the rate of pouch failure was 4.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">IPR<\/jats:styled-content> holds the largest voluntary repository of data on ileoanal pouch surgery. The second report from the <jats:styled-content style=\"fixed-case\">IPR<\/jats:styled-content> records marked refinements in surgical technique over time but also highlights wide variation in institutional caseload and outcome across the UK.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14316","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T14:16:26Z","timestamp":1529590586000},"page":"913-922","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Review of current practice and outcomes following ileoanal pouch surgery: lessons learned from the Ileoanal Pouch Registry and the 2017 Ileoanal Pouch Report"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8265-7641","authenticated-orcid":false,"given":"G. H.T.","family":"Worley","sequence":"first","affiliation":[{"name":"St Mark's Hospital and Academic Institute London North West University Healthcare NHS Trust London UK"},{"name":"Department of Surgery and Cancer Imperial College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8651-5886","authenticated-orcid":false,"given":"N. S.","family":"Fearnhead","sequence":"additional","affiliation":[{"name":"Addenbrooke's Hospital Cambridge University Hospitals NHS Foundation Trust Cambridge UK"},{"name":"ACPGBI Inflammatory Bowel Disease Clinical Advisory Group UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0980-2793","authenticated-orcid":false,"given":"S. R.","family":"Brown","sequence":"additional","affiliation":[{"name":"ACPGBI Inflammatory Bowel Disease Clinical Advisory Group UK"},{"name":"Northern General Hospital Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6935-5227","authenticated-orcid":false,"given":"A. G.","family":"Acheson","sequence":"additional","affiliation":[{"name":"National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre Nottingham University Hospitals NHS Trust and University of Nottingham Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9971-1635","authenticated-orcid":false,"given":"M. J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Northern General Hospital Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1117-1588","authenticated-orcid":false,"given":"O. 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