Researchers at Cedars-Sinai have developed a groundbreaking technique using preoperative CT scans to predict whether a patient with inflammatory bowel disease (IBD) will be a suitable candidate for ileal pouch-anal anastomosis (IPAA). By measuring critical lengths related to the small bowel’s mesentery, they identified that patients with a mesenteric length of less than 14.6 cm or a mobilization length greater than 17 cm were at higher risk for nonreach, a condition where IPAA might not be feasible. This non-invasive, readily available method could significantly aid surgical planning and patient counseling.
Journal Article by Adams ED, Lansky CA (…) Fleshner PR et 2 al. in Dis Colon Rectum
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