ASGE DDW Videos from Around the World | 2025-TRANSANAL ENDOSCOPIC ILEOANAL POUCH REVISION TRANSECTION OF OBSTRUCTIVE POUCH HEMI-DIAPHRAGM

TRANSANAL ENDOSCOPIC ILEOANAL POUCH REVISION TRANSECTION OF OBSTRUCTIVE POUCH HEMI-DIAPHRAGM

Video Transcription

Video Summary

A patient with an obstructive ilioanal pouch due to a pouch septum underwent a transanal endoscopic pouch revision. The procedure involved marking and resecting the obstructive hemidiaphragm using needle knives and electrosurgical instruments, followed by clip placement for hemostasis. Post-procedural results showed widened lumen and resolution of obstructive symptoms without complications. The patient was discharged the next day, reporting normal bowel movements. The technique is minimally invasive but requires preparedness for possible intraoperative perforation. Pathology was consistent with prolapse.

Asset Subtitle

Stefan Holubar

Keywords

transanal endoscopic pouch revision

obstructive ilioanal pouch

pouch septum

minimally invasive surgery

post-procedural recovery