Simple ileal J-pouch construction using an endoscopic stapler.

An easier method in constructing a J-pouch is described using an endoscopic stapler. Although not designed for open procedures, the length of this instrument allows the J-loop to slide up the device following each staple application. Close opposition of the antimesenteric borders of the ileum is thus more easily achieved, telescoping of the bowel is avoided, and the enterostomy does not become unnecessarily enlarged.