POUCH AND POUCHITIS - 03/09/11
Résumé |
Ileal-pouch anal anastomosis (IPAA) has become the standard of care for surgical management of patients with chronic ulcerative colitis (CUC). The procedure has gained popularity because of its excellent long-term functional results and an acceptable morbidity rate.35 The most common long-term complication after IPAA is inflammation of the pouch, referred to as pouchitis. Inflammation of the reservoir was reported in Kock's continent ileostomy26 before IPAA was introduced, but it still is a poorly understood entity. This article discusses the incidence, cause, and pathogenesis of pouchitis as well as the risk factors, clinical presentation, diagnosis, and medical strategies that currently are used to prevent surgical removal of the pouch.
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| Address reprint requests to John H. Pemberton, MD Division of Colon and Rectal Surgery Mayo Clinic 200 First Street SW Rochester, MN 55905 |
Vol 30 - N° 1
P. 223-241 - mars 2001 Retour au numéro
Article précédent
- RECTAL PROLAPSE, RECTAL INTUSSUSCEPTION, RECTOCELE, AND SOLITARY RECTAL ULCER SYNDROME
- Richelle J.F. Felt-Bersma, Miguel A. Cuesta
- FUNCTIONAL ANORECTAL AND PELVIC PAIN
- Arnold Wald
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