Ileoanal anastomosis - #'s performed

[symbol99]

Hi,

I'm a medical student. I have ulcerative colitis. I'll probably be needing this procedure soon. I wanted to know where I can go to look for to see which surgical centers perform this procedure the most, i.e. #'s of ileoanal anastomsis performed at each hospital. Thanks for your time.

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[applicant2002]

university of pennsylvania has one of the highest volume centers for IBD specific colorectal surgery.
before pursuing that route, though, you should make it a point to visit a regional inflammatory bowel disease center. there are many new and underutilized regimens that are sucessful for preventing or at least delaying the need for surgery while maintaining a good quality of life and sparing you from chronic steroids.

 

[ESU_MD]

cleveland clinic- florida

 

[tussy]

You are better off going to a surgeon that is close to where you live. I follow my pouch patients indefinitely (they get a little green sticker on their chart which means they can make an appointment any time and never need to be re-referred and get preferential treatment).

Make sure you see a colorectal surgeon. It is within your right to ask them how many of these procedures they perform in a year. It is also important that you like them and have a good feel for them. Your gastroenterologist probably has a few colorectal surgeons that they can refer you to. Don't be afraid to shop around.

It is also good to speak to other patients that have had this procedure and ask who their surgeon was and if they were happy with them.

Finally, be cautious asking for medical advice on an internet forum!

 

[Castro Viejo]

Hi,

I'm a medical student. I have ulcerative colitis. I'll probably be needing this procedure soon. I wanted to know where I can go to look for to see which surgical centers perform this procedure the most, i.e. #'s of ileoanal anastomsis performed at each hospital. Thanks for your time.

Mount Sinai Medical Center, New York.

 

[Winged Scapula]

I think you'll find most places with a Colorectal Surgeon on staff that has trained within the last few years will have done an adequate number. An IPAA is not an uncommon surgery but you obviously want someone who is facile in doing it.

As noted above, I'm sure your gastroenterologist will have some suggestions and its almost always better to stay close to home unless you live somewhere really remote.

 

[Blade28]

Definitely talk to your gastroenterologist first about what/who he/she recommends.

 

[Faebinder]

Hi,

I'm a medical student. I have ulcerative colitis. I'll probably be needing this procedure soon. I wanted to know where I can go to look for to see which surgical centers perform this procedure the most, i.e. #'s of ileoanal anastomsis performed at each hospital. Thanks for your time.

Assuming it's really ulcerative colitis and not a mixed picture, proctocolectomy with ileoanal anastomosis works very well and I highly recommend it. My program does 1-2 per week. Why get yourself addicted to opiates and suffer the disease for so long?

Make sure a colorectal surgeon does it. (Sorry general surgery, but I wouldnt trust my anus to someone else).

 

[Winged Scapula]

Assuming it's really ulcerative colitis and not a mixed picture, proctocolectomy with ileoanal anastomosis works very well and I highly recommend it. My program does 1-2 per week. Why get yourself addicted to opiates and suffer the disease for so long?

Make sure a colorectal surgeon does it. (Sorry general surgery, but I wouldnt trust my anus to someone else).

Do you really see many general surgeons doing this case? I'd consider it a fairly advanced CR case that I'd prefer a specialist do as well.

 

[symbol99]

Thank you all for your advice.

I figured it would be wiser to choose someone close to home. I live in the NY area, so I don't expect it will be hard to find someone. I'd like to go to someone who has performed alot of them, but I don't think leaving the NY area to have it done is a good idea.......following up is also important with this procedure. It probably shouldn't be too hard to find that balance with someone around here.

Thanks guys!

 

[Faebinder]

Do you really see many general surgeons doing this case? I'd consider it a fairly advanced CR case that I'd prefer a specialist do as well.

Once per 2 months we get a pouch issue done by a general surgeon. Makes me want to go back to that thread where we said: "If you don't operate a lot in an area, then consult on it even if it makes you look weak."

In surgery, it's hard to make someone admit they need a second opinion on an area less familiar to them.

 

[Faebinder]

Thank you all for your advice.

I figured it would be wiser to choose someone close to home. I live in the NY area, so I don't expect it will be hard to find someone. I'd like to go to someone who has performed alot of them, but I don't think leaving the NY area to have it done is a good idea.......following up is also important with this procedure. It probably shouldn't be too hard to find that balance with someone around here.

Thanks guys!

As long as you are confirmed UC and not Crohn, but this forum is not for medical advise. Your colorectal surgeon should be able to help you.