Disadvantages of Ileal Pouch-Anal Anastomosis (IPAA)

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What is the typical mean stool frequency for patients with an IPAA?

10 stools per day
3 stools per day
2 stools per day
6 stools per day, one of which is nocturnal (correct)

What is the typical range of incontinence rates for patients with an IPAA?

25-30%
10-20%
0-5%
5-20% (correct)

Which type of pouch design is the easiest to construct, but has the lowest capacitance and compliance?

J-pouch (correct)
S-pouch
W-pouch
None of the above

What is the maximum length of the efferent limb in an S-pouch to prevent outlet obstruction?

2 cm (D) Signup and view all the answers

Which pouch design has the greatest capacitance and compliance?

W-pouch (C) Signup and view all the answers

Which statement about the anal transition zone (ATZ) is correct?

The ATZ is usually spared if a stapled anastomosis is used (B) Signup and view all the answers

What is the most common site of involvement in Crohn's disease?

Ileocolic region (A) Signup and view all the answers

Which of the following is NOT a characteristic feature of Crohn's disease pathology?

Presence of caseating granulomas (C) Signup and view all the answers

What is the absolute indication for colonoscopy and biopsy in Crohn's disease?

Colonic stricture (B) Signup and view all the answers

Which of the following factors does NOT increase the risk of colonic dysplasia and carcinoma in Crohn's disease?

Involvement of the small intestine alone (B) Signup and view all the answers

Which of the following statements about peri-anal suppurative diseases in Crohn's disease is TRUE?

They include hemorrhoids, suppuration, and fissures (C) Signup and view all the answers

What is the pathological description of the affected segment in Crohn's disease?

It is extremely thickened and has a woody feeling (hose-pipe lesions) (A) Signup and view all the answers

What is the purpose of sclerosant injection in the treatment of prolapse?

Cause retraction of the prolapsed mucosa (D) Signup and view all the answers

Why are buttocks strapped together after defecation in the treatment of prolapse?

To assist in reducing the prolapse (B) Signup and view all the answers

What is the main factor determining the final functional result in complete prolapse surgery?

Degree of continence (D) Signup and view all the answers

Which surgery procedure is considered obsolete nowadays?

Thiersch Procedure (C) Signup and view all the answers

What determines the choice of operation for prolapse treatment?

Associated disorders like cystocele and rectocele (A) Signup and view all the answers

In Longo's procedure for partial prolapse, what is used to induce anal lift and refixation of the prolapsed mucosa?

PPH stapler (B) Signup and view all the answers

What is the main advantage of the Altemeier Operation?

It is ideal for incarcerated or strangulated prolapses. (D) Signup and view all the answers

Which procedure is described as the 'minimum procedure that should be done'?

Delorme Procedure (D) Signup and view all the answers

What is a potential complication of the Altemeier Operation?

Pelvic sepsis or leakage (C) Signup and view all the answers

For which type of rectal prolapse is the Delorme Procedure well-suited?

Short prolapses (C) Signup and view all the answers

What is a key advantage of the Sutured Posterior Rectopexy (Ripstein Procedure)?

It has no reported mortality. (D) Signup and view all the answers

What is typically divided during the Sutured Posterior Rectopexy procedure?

The lateral ligaments on either side are divided. (C) Signup and view all the answers

Which of the following is a potential disadvantage of rectopexy procedures?

Division of parasympathetic nerves during rectal mobilization (C) Signup and view all the answers

Which procedure is described as the best-used operation for adults for rectal prolapse?

Resection-rectopexy (Frekman Repair) (B) Signup and view all the answers

What is a benefit of the laparoscopic approach for rectopexy procedures?

Earlier return to work (C) Signup and view all the answers

Which of the following statements about the Resection-rectopexy (Frekman Repair) is true?

It has a complication rate of up to 30% (D) Signup and view all the answers

What is a potential advantage of mesh rectopexy procedures compared to sutured rectopexy?

Improved continence (C) Signup and view all the answers

According to the table, what is the reported range for the recurrence rate of mesh rectopexy procedures?

0-13% (A) Signup and view all the answers