{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T20:33:54Z","timestamp":1784406834421,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Data on ileal pouch\u2010anal anastomosis (IPAA) outcomes in ulcerative colitis (UC) patients from resource\u2010constrained settings, such as Latin America, are limited. This study aimed to evaluate demographic characteristics, perioperative outcomes and long\u2010term results of UC patients undergoing IPAA in Latin America.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on UC patients who underwent IPAA at 11 academic centres across Argentina, Brazil, Chile and Colombia between 2012 and 2022. Main outcome was 30\u2010day postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 273 patients underwent IPAA; 49.8% were female, with a mean age of 37.5\u2009years. Three\u2010stage IPAA was performed in 68.9% of cases, while 31.1% underwent a two\u2010stage approach. A minimally invasive technique was used in 50% of cases, with a 4% conversion rate. The 30\u2010day complication rate was 36.6%, and 30\u2010day mortality was 0.7%. On multivariate analysis, use of advanced therapies within 12\u2009weeks of surgery was protective against postoperative complications (OR 0.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008), whereas ASA III\/IV status was independently associated with higher complication rates (OR 5.14,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043). Long\u2010term follow\u2010up was available for 176 patients (median 60\u2009months). IPAA\u2010related complications occurred in 31.5%, including pouchitis, strictures, cuffitis and fistula formation. Pouch failure was observed in 8.5%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>IPAA for UC in Latin America shows acceptable morbidity, low mortality and long\u2010term outcomes comparable to high\u2010resource settings, supporting its feasibility in resource\u2010constrained environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70518","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:00:02Z","timestamp":1781150402000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Short\u2010 and long\u2010term outcomes of\n                    <scp>IPAA<\/scp>\n                    for ulcerative colitis in Latin America: A retrospective, multicentre assessment"],"prefix":"10.1111","volume":"28","author":[{"name":"Surgical IBD LATAM Consortium","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco\u2010jcc\/jjab177"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2008.01867.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20810"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco\u2010jcc\/jjv134"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010023\u201002798\u2010y"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13699"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000491921"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0041\u201087812003000400002"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rchic.2016.01.001"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.06.030"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20101253(23)00284\u20104"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010024\u201000916\u2010w"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zraf103"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrae111"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1480444"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100033\u20101348051"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100042\u20101758217"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010016\u20101465\u2010z"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2020.08.26"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2022.09.011"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0290887"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000001944"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11236884"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365521.2016.1278457"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000074"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2012.58"}],"container-title":["Colorectal 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