{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:52:35Z","timestamp":1791179555742,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Conversion of a failed ileoanal J\u2010pouch to a continent ileostomy (K\u2010pouch) is an uncommon salvage option that may preserve continence and small\u2010bowel length. Outcomes after J\u2010to\u2010K pouch conversion compared with primary K\u2010pouch creation remain poorly defined. This IDEAL stage 3 study compared short\u2010 and long\u2010term outcomes between these two approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We performed a retrospective review of patients undergoing primary K\u2010pouch creation or J\u2010to\u2010K pouch conversion at a tertiary referral centre between 2013 and 2025. Demographic, clinical and operative characteristics, 30\u2010day postoperative outcomes and long\u2010term pouch\u2010related outcomes were evaluated. Primary outcomes were pouch revision and pouch excision. Secondary outcomes included 30\u2010day morbidity and other long\u2010term complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010four patients were included, of whom 28 underwent primary K\u2010pouch creation and 16 underwent J\u2010to\u2010K pouch conversion. Median age, body mass index, operation duration and blood loss were comparable between groups. Thirty\u2010day outcomes, including readmission, reoperation, ileus, abscess and transfusion, did not differ significantly. After a median follow\u2010up of 43 vs. 42\u2009months, pouch survival remained high in both groups (82.1% vs. 93.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.39). Kaplan\u2013Meier analysis demonstrated similar revision\u2010free (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.39) and excision\u2010free (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.36) survival. On multivariable analysis, 30\u2010day transfusion was the only independent predictor of pouch failure (odds ratio [OR] 7.56, 95% confidence interval [CI] 1.02\u201356.25;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>J\u2010to\u2010K pouch conversion achieved high pouch survival and 30\u2010day morbidity comparable to primary K\u2010pouch creation, supporting its role as an effective salvage option in selected patients with J\u2010pouch failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70629","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:15:48Z","timestamp":1791177348000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary K\u2010pouch creation versus J\u2010to\u2010K pouch conversion: An\n                    <scp>IDEAL<\/scp>\n                    stage 3 report"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0794-9035","authenticated-orcid":false,"given":"Amirbahador","family":"Abbasi","sequence":"first","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Ge","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5484-2488","authenticated-orcid":false,"given":"Mingwen","family":"Jia","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0419-1031","authenticated-orcid":false,"given":"Erin","family":"Testerman","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Marra","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Autencio","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3489-4140","authenticated-orcid":false,"given":"James M.","family":"Church","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Shen","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi P.","family":"Kiran","sequence":"additional","affiliation":[{"name":"Global Center for Integrated Colorectal Surgery and IBD Interventional Endoscopy Columbia University Irving Medical Center\/New York Presbyterian Hospital  New York City NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1969.01340140095014"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181a90b65"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrab095"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003720"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000160"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/9740980"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000074"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010021\u201004067\u20106"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003182"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010021\u201005127\u20106"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001277"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002631"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181ab586b"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13802"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000001061"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001386"},{"issue":"1","key":"e_1_2_13_18_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1111\/j.1463-1318.2010.02395.x","article-title":"Conversion of a failed pouch to a continent ileostomy: a controversy [editorial]","volume":"13","author":"Wassmuth HH","year":"2011","journal-title":"Color Dis"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827d99a2"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000815"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010024\u201003018\u2010x"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002619"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002517"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14238541"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010021\u201004054\u2010x"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001823"}],"container-title":["Colorectal 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