Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 21, 2019; 25(31): 4320-4342
Published online Aug 21, 2019. doi: 10.3748/wjg.v25.i31.4320
Ileal-anal pouches: A review of its history, indications, and complications
Kheng-Seong Ng, Simon Joseph Gonsalves, Peter Michael Sagar
Kheng-Seong Ng, Peter Michael Sagar, John Goligher Colorectal Unit, St. James’s University Hospital, Leeds LS9 7TF, United Kingdom
Kheng-Seong Ng, Institute of Academic Surgery, University of Sydney, Camperdown, New South Wales 2050, Australia
Simon Joseph Gonsalves, Department of Colorectal Surgery, Huddersfield Royal Infirmary, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield HD3 3EA, United Kingdom
Author contributions: All authors contributed to this article.
Supported by the Mitchell J. Notaras Fellowship in Colorectal Surgery.
Conflict-of-interest statement: No conflicts of interest exist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Peter Michael Sagar, BSc, FRCS, MD, Full Professor, Professor of Colorectal Surgery, John Goligher Colorectal Unit, St. James’s University Hospital, Beckett Street, Leeds LS9 7TF, United Kingdom.
Telephone: +44-113-2064498 Fax: +44-113-2067355
Received: February 13, 2019
Peer-review started: February 15, 2019
First decision: February 26, 2019
Revised: March 12, 2019
Accepted: March 24, 2019
Article in press: March 25, 2019
Published online: August 21, 2019
Core Tip

Core tip: The ileal pouch remains a mainstay for the surgical management of ulcerative colitis and familial adenomatous polyposis. From its inception in 1978, there have been developments in the technical approaches to this surgery, with recent advancements including robotic surgery, transanal proctectomy, and single incision laparoscopic surgery. Despite these advancements, pouch surgery remains confounded with complications which must be recognised by gastroenterologist and surgeon alike. This review looks to provide a contemporary outline of the history, indications, and complications of ileal pouch surgery.