𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Crohn's disease of the ileal pouch: Reality, diagnosis, and management

✍ Scribed by Bo Shen

Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
601 KB
Volume
15
Category
Article
ISSN
1078-0998

No coin nor oath required. For personal study only.

✦ Synopsis

Restorative proctocolectomy with ileal pouch-anal anastomosis has become the surgical treatment of choice for patients with ulcerative colitis or indeterminate colitis who require surgery. A subset of patients with ileal pouches may develop Crohn's disease or a Crohn's disease-like condition of the pouch after the surgery. Diagnosis, differential diagnosis, and management can be challenging. A combined assessment of endoscopy, histology, radiography, and examination under anesthesia is often necessary for an accurate diagnosis. A multidisciplinary approach by a medical and surgical team is advocated. It is advisable to inform ulcerative colitis patients before the surgery of the potential risk for Crohn's disease along with other inflammatory and noninflammatory complications.

πŸ“œ SIMILAR VOLUMES

Diagnosis and management of dysplasia an
Diagnosis and management of dysplasia and cancer of the ileal pouch in patients with underlying inflammatory bowel disease
✍ Zhao-xiu Liu; Ravi P. Kiran; Ana E. Bennett; Run-zhou Ni; Bo Shen πŸ“‚ Article πŸ“… 2011 πŸ› John Wiley and Sons 🌐 English βš– 264 KB πŸ‘ 2 views

## Abstract Approximately 30% of the patients with ulcerative colitis (UC) would ultimately require colectomy for medically refractory UC or UC‐associated neoplasia. Restorative proctocolectomy with ileal pouch‐anal anastomosis has become the surgical treatment of choice for these patients. However

Diagnosis and management of afferent lim
Diagnosis and management of afferent limb syndrome in patients with ileal pouch-anal anastomosis
✍ Hasan T. Kirat; Ravi P. Kiran; Feza H. Remzi; Victor W. Fazio; Bo Shen πŸ“‚ Article πŸ“… 2011 πŸ› John Wiley and Sons 🌐 English βš– 129 KB πŸ‘ 2 views

## Background: Distal small bowel obstruction following ileal pouch-anal anastomosis (ipaa) can occur secondary to acute angulation or prolapse of the afferent limb at the pouch inlet, namely, afferent limb syndrome (als). the aim of this study is to report our experience in diagnosis and managemen

Family history of Crohn's disease is ass
Family history of Crohn's disease is associated with an increased risk for Crohn's disease of the pouch
✍ Bo Shen; Feza H. Remzi; Jeffrey P. Hammel; Bret A. Lashner; Charles L. Bevins; I πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 126 KB πŸ‘ 2 views

Background: Crohn's disease (CD) of the pouch can occur in patients with restorative proctocolectomy and ileal pouch-anal anastomosis originally performed for a preoperative diagnosis of ulcerative colitis (UC). CD of the pouch was often observed in patients with a family history of CD. The purpose

Management and prevention of postoperati
Management and prevention of postoperative Crohn's disease
✍ Miguel Regueiro πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 122 KB πŸ‘ 1 views

Postoperative Crohn's disease (CD) recurrence is a common occurrence after intestinal resection. Currently, the optimal management of patients who have undergone surgical resection is unknown and treatment remains subjective. Clinicians in conjunction with patients must balance the risks of recurren

Diagnosis and management of dysplasia in
Diagnosis and management of dysplasia in patients with ulcerative colitis and Crohn's disease of the colon
✍ Thomas Ullman; Robert Odze; Francis A. Farraye πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 244 KB πŸ‘ 2 views

To minimize the possibility of developing lethal colorectal cancer (CRC) in ulcerative colitis (UC) and Crohn's colitis, patients are usually enrolled in a program of dysplasia surveillance. The success of a surveillance program depends on the identification of patients with dysplasia and timely ref