TY - CHAP M1 - Book, Section TI - Ileal Pouch Anal Anastomosis A1 - Silver, David F. A1 - Khulpateea, Beman A2 - Bristow, Robert E. A2 - Chi, Dennis S. PY - 2015 T2 - Radical and Reconstructive Gynecologic Cancer Surgery AB - The ileal pouch anal anastomosis (IPAA) procedure, also known as ileoanal anastomosis or restorative proctocolectomy, was developed in the 1970s by Sir Alan Parks in London. It was offered as an alternative to performing a Brooke end ileostomy for patients who underwent total colectomies for a variety of diagnoses, most commonly inflammatory bowel disease.1,2 The Parks’ procedure offered important advantages over the previously used ileoanal end-to-end anastomosis (without a pouch reservoir), which resulted in poor functional outcomes, including higher fecal frequency, urgency, and incontinence rates.3-5 With the addition of a pouch that serves as a lower pressure reservoir, patients are offered the quality-of-life advantage of restoring the continuity of their intestinal tracts, which obviates the need for permanent abdominal wall stomas (and ostomy appliances). When performed on properly selected patients, high rates of fecal continence and patient satisfaction can be expected.6,7 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/03 UR - obgyn.mhmedical.com/content.aspx?aid=1179986266 ER -