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Journal of Coloproctology (Rio de Janeiro)

Print version ISSN 2237-9363

Abstract

WU, Xian-rui; LIU, Xiu-li; LAN, Nan  and  SHEN, Bo. Management of ileal pouch prolapse with endoscopic hot snare. J. Coloproctol. (Rio J.) [online]. 2013, vol.33, n.2, pp.92-94. ISSN 2237-9363.  http://dx.doi.org/10.1590/S2237-93632013000200009.

Pouch prolapse is a complication following the creation of restorative proctocolectomy. There is a paucity of information in the literature pertaining to its management. An ileal J pouch patient with dyschezia presented to our Pouch Center. Under sedation, pouchoscopy was performed with a gastroscope. We detected an anterior distal pouch mucosal prolapse, 1.5 cm in diameter, blocking the anal canal. The prolapsed mucosa was excised with hot snare under a retroflex view. There was no bleeding or perforation. The entire procedure took 25 minutes. The patient tolerated the procedure well and was discharged home 30 minutes after post-procedural observation. The patient reported the resolution of the dyschezia symptom. The histopathological examination of excised specimen showed small bowel mucosa and sub-mucosa with changes compatible with mucosal prolapse. Endoscopic hot snare appears to be feasible in the management of pouch mucosal prolapse.

Keywords : Endoscopy; Hot snare; Ileal pouch anal anastomosis; Pouch prolapse.

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