{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T14:48:03Z","timestamp":1784818083430,"version":"3.55.0"},"reference-count":66,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,12,12]],"date-time":"2006-12-12T00:00:00Z","timestamp":1165881600000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> The aim of this project was to establish and maintain an internet\u2010based database of all ileal pouch procedures performed in major centres in Australasia.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> The initial three colorectal units contributing data are Auckland, northern Brisbane and Central Sydney Area Health Service. A web\u2010based database was designed. The data collection method was tested on a subgroup of 20 patients to ensure functionality. Data were collected in five main categories: patient demographics, preoperative data, operative details, postoperative complications and functional results.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Initial data are presented for 516 patients [363 J, (70%), 133 W (26%), 16 S pouches (3%)]. There were two deaths within 30\u2003days (0.4%). The anastomotic leak rate overall, in handsewn (HSA) and stapled anastomoses (SA) respectively was 5.0%, 8.5% and 3.3% (<jats:italic>P<\/jats:italic>\u2003= 0.02 for difference HSA <jats:italic>vs<\/jats:italic> SA). Incidence of pouchitis was 20% (ulcerative colitis 23%, Crohn's disease 20%, indeterminate colitis 22%, familial adenomatous polyposis 9%). Incidence of anal stricture requiring intervention (11% overall) was significantly greater in HSAs than in SAs (16%<jats:italic>vs<\/jats:italic> 9%, <jats:italic>P<\/jats:italic>\u2003=\u20030.02). Incidence of small bowel obstruction at any time postoperatively was 16%. Functional data were available for 234 patients. The median frequency of bowel actions during waking hours was significantly less in W pouches than in J pouches (four <jats:italic>vs<\/jats:italic> five, <jats:italic>P<\/jats:italic>\u2003=\u20030.0005).<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> A national web\u2010based database has been developed for access by all Australasian colorectal units. Initial Australasian data compare favourably with other international studies. Pouchitis continues to be a long\u2010term problem. The leak rate and rate of late anal stricture requiring a procedure are higher if the anastomosis is handsewn rather than stapled. Functional results are better with the W pouch than with the J pouch.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2006.01151.x","type":"journal-article","created":{"date-parts":[[2006,12,13]],"date-time":"2006-12-13T10:56:25Z","timestamp":1166007385000},"page":"139-145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Ileal pouch\u2010anal anastomosis: the Australasian experience"],"prefix":"10.1111","volume":"9","author":[{"given":"M. J. F. X.","family":"Rickard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. J.","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. 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