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Reply to "Mushroom Drain"

From what I have heard here, Dr. Remzi opts for a complete pouch redo over repair. I do have a question you might want to ask him about though. My understanding is that the s-pouch is mostly reserved for those with a short mesenteric reach (and the j-pouch is otherwise preferred). If this is the case for you, can you have a pouch redo with a short mesenteric reach?

 

The mesenteric reach is the length of the mesenteric blood supply. The s-pouch allows for a few extra centimeters reach. But, if you scrap that length, where would the needed length come from? I am not implying that it cannot be done, but it is something I am wondering about.

 

Jan

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