A Bousvarous et al. JPGN 2023; 77: 691-694. Endoscopy of the Ileal Pouch Anal Anastomosis
This is a terrific review with some good pictures.
- The authors note that in their practice in their IBD center, a pouchoscopy is performed 1-2 years after ileostomy closure irrespective of symptoms; in those with symptoms, it is performed sooner.
- Some complications like strictures and ulcers can occur with few symptoms
- Table 1 reviews common complications like strictures, cuffitis, infectious pouchitis, Crohn’s disease like pouch inflammation, pouch ischemia, and irritable pouch syndrome. Figure 2 provides useful endosopic picture
Related blog posts:
- Chicago Classification of J Pouch Outcomes
- Vedolizumab for Chronic Pouchitis
- Vancomycin for Chronic Pouchitis & ASPEN Infant Formula Resources
- IBD Updates: Built-in Infliximab Dosing, Pouchitis in kids, PIBD Symposium & Aspen Meeting
Another article on pouch management/evaluation:
P Santiago et al. Am J Gastroenterol 2023; 118(11):p 1931-1939 | DOI: 10.14309/ajg.0000000000002348. Open access: Classification and Management of Disorders of the J Pouch
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