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. 2021 Aug 28;406(6):1751–1761. doi: 10.1007/s00423-021-02295-6

Table 3.

Pouch-lengthening techniques

Location Lengthening technique
Pouch Creation of S-pouch
Mesentery Ligate arcade vessel
Ligate ileocolic vessels
Ligate SMA (if ileocolic preserved)
Mobilize SMA to head of pancreas
Fenestration
Rectal cuff High transection
Last option Suture IPAA deep in pelvis