Valerio Celentano – Ileoanal pouch formation and revisional surgery…
Valerio Celentano is Consultant Colorectal Surgeon at Chelsea & Westminster Hospital NHS Foundation Trust, and Head of J-Pouch One Stop Clinic at Chelsea & Westminster Hospital. Ileal pouch-anal anastomosis (IPAA) after total proctocolectomy (removal of entire large bowel and rectum) is a surgical procedure for ulcerative colitis refractory to medical treatment and majority of patients with familial adenomatous polyposis (FAP), as an alternative to permanent end ileostomy.
Although many patients undergoing pouch surgery have satisfactory functional and long-term outcomes results, the procedure is complex and associated with problems and complications in the short- and long-term. Several complications following pouch surgery can lead to the pouch requiring removal (pouch excision) or permanent diversion (need for ileostomy) and reported rates can be up to 20%. This spectrum of conditions carries the very unfortunate and likely inappropriate name of “pouch failure”. Gaining experience in pouch surgery is hard as the procedure is performed infrequently across many hospitals, as reported by the UK Pouch registry, outlining that the average number of pouches performed in English institutions was low and one quarter of the surgeons undertaking this operation had performed only one case over the last five years. The interactive talk will discuss the challenges of ileoanal pouch surgery and some of the surgical complications that can benefit from revisional (redo) pouch surgery.
An institutional initiative to promote standardisation of multidisciplinary care in IPAA surgery will also be presented. Contact Details:
For Valerio Celentano and Chelsea & Westminster web: www.chelwest.nhs.uk/ibd-surgery-centre
email: chelwest.j-pouch@nhs.net
This video was recorded on behalf of the Red Lion Group on 9 March 2023.
Sue Clark – Pouch dysfunction
Professor Sue Clark (Consultant Colorectal Surgeon, St Mark’s Hospital and Professor of Practice (Colorectal Surgery) Department of Surgery and Cancer Imperial College, London) talking on the subject of J-Pouch dysfunction followed by Q&A.
This webcast was recorded on 23 February 2022 on behalf of the Red Lion Pouch Support Group.
Phil Tozer & Lillian Reza – “treatment of fistulas…
Featuring Phil Tozer – Consultant Colorectal surgeon at St. Mark’s Hospital, London and Lillian Reza – St. Mark’s Academic Institute.
“Treatment of Fistulas associated with Pouches“
Recorded as part of the Red Lion Group Zoom into Summer series, recorded 8 December 2021. For people with IPAA (Ileal Pouch Anal Anastomosis) also known as J Pouch or internal pouch. Advice and Guidance for people with a Pouch and issues with Fistulas.
Recommended annual blood tests for j-pouch patients
This document explains the blood tests that St. Mark’s patients usually have done as part of their annual checkup at the hospital.
If you no longer have follow ups at St. Mark’s or are not a patient there, then you can request that your G.P. does these as part of your Annual Long Term Condition review.
These tests may be carried out during your routine physical examination or may be used as part of a more comprehensive set of tests.
Blood tests explained
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Ellie Bradshaw – “Crouch for your pouch” Pelvic Floor…
Ellie Bradshaw, Colorectal/Biofeedback Nurse formerly at St. Mark’s Hospital and now at Princess Grace Hospital, London.
“Crouch for your Pouch” – Pelvic Floor Perfection and the Importance of Emptying.
Recorded as part of the Red Lion Group Zoom into Summer series, recorded 13 October 2021. For people with IPAA (Ileal Pouch Anal Anastomosis) also known as J Pouch or internal pouch. Advice and Guidance for people with problems with pouch emptying, partial emptying and leakage.
Petya Marinova – St Mark’s Hospital: Life after the…
Petya Marinova, Pouch nurse specialist at St. Mark’s Hospital in London talking about Life at St. Mark’s post pandemic and describes various initiatives in place to improve pouch care including various pouch care protocols being created by the pouch team at St. Marks Hospital to share with the wider medical community.
Gabriela Poufou – Healthy eating for patients with an…
Gabriela Poufou – Healthy eating for patients with an internal pouch
Gabriela Poufou, Advanced Specialist Inflammatory Bowel Disease Dietitian at St. Mark’s Hospital talks about dietary issues as they relate to patients with an IPAA (Ileal-Pouch Anal Anastomosis) also known as J Pouch or internal Pouch.
A copy of the slides may also be downloaded from Resources on the Red Lion Group website.
Slides – Healthy eating for patients with an internal…
These are the Powerpoint Slides corresponding to the webcast given by Gabriela Poufou, in the Zoom into summer 2021 series.
You can view the recording by going to /Videos/Zoom into Summer 2021
Information leaflet for doctors, nurses and health care professionals…
RLG Info Leaflet for medics
The medic alert document is a hard copy of the information shown on the Red Lion Group website at pouchsupport.org/medic. It contains a comprehensive description of what ileo-anal pouch surgery involves and the issues and challenges faced by people living with an ileo-anal pouch. It may be useful for GPs that have patients who have undergone ileo-anal-pouch surgery or other medical professionals wishing to gain a better understanding of the procedure.
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