{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T12:04:57Z","timestamp":1648555497318},"reference-count":0,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2019,10,18]]},"abstract":"<jats:p>Aim\nAn ileal pouch anal anastomosis (IPAA) leak is one of the most severe complication after restorative proctocoletomy (RPC). We present a rare case of a successful management of IPAA leak after RPC without defunctionig stoma with the utility of endoscopic vacuum therapy.\nMethods\nA 57-year-old male with a ileal pouch anal anastomosis leak after RPC due to ulcerative colitis with presacral abscess was qualified for endoscopic vacuum therapy (EVT). The abscess of the left buttock was drained and secured with suction drain (redon drain). Due to the lack of defunctioning stoma, a system for contain and divert fecal matter was placed within afferent limb of the J-pouch and EVT was placed directly within IPAA dehiscence. EVT was changed every third day.\nResults\nThe patient underwent a total of five EVT sessions. Improvement of patient\u2019s general condition characterized with lack of pelvic pain, fever and reduction of inflammatory markers was achieved. Locally, anastomosis dehiscence was healed with prominent reduction in the defect\u2019s dimension, contraction and revascularization. Based on imaging studies no chronic presacral sinus or any other perianal disturbances were revealed at the time of five months follow up. \nConclusions\nEVT is a promising method for management of IPAA leak. Although, it remains extremely difficult, EVT may serve as a method of choice in early pouch-related septic complications after RPC performed without defunctioning stoma\n\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0013.5357","type":"journal-article","created":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T12:35:05Z","timestamp":1571920505000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Ileal pouch anal anastomosis leak after restorative proctocolectomy without protective stoma successfully treated with endoscopic vacuum therapy"],"prefix":"10.5604","volume":"91","author":[{"given":"Maciej","family":"Borejsza-Wysocki","sequence":"first","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej, Endokrynologicznej i Onkologii Gastroenterologicznej, Uniwersytet Medyczny w Poznaniu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Bobkiewicz","sequence":"additional","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej, Endokrynologicznej i Onkologii Gastroenterologicznej, Uniwersytet Medyczny w Poznaniu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Ko\u015bci\u0144ski","sequence":"additional","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej, Endokrynologicznej i Onkologii Gastroenterologicznej, Uniwersytet Medyczny w Poznaniu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Banasiewicz","sequence":"additional","affiliation":[{"name":"Katedra i Klinika Chirurgii Og\u00f3lnej, Endokrynologicznej i Onkologii Gastroenterologicznej, Uniwersytet Medyczny w Poznaniu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0141ukasz","family":"Krokowicz","sequence":"additional","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej, Endokrynologicznej i Onkologii Gastroenterologicznej, Uniwersytet Medyczny w Poznaniu"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0013.5357","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0013.5357","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T12:35:11Z","timestamp":1571920511000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0013.5357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,18]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,10,24]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0013.5357","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,18]]}}}