How do you treat refractory pouchitis and when do you decide to remove the pouch?

✍ Scribed by Dr. David B. Sachar

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 199 KB
• Volume: 4
• Category: Article
• ISSN: 1078-0998
• DOI: 10.1002/ibd.3780040212

✦ Synopsis

From every textbook page and lecture platform, we are offered the clichC that surgery is a "cure" for ulcerative colitis. To be sure, after a total proctocolectomy, there is no longer a colon or a rectum to serve as the target for this particular disease, but often the operation has simply substituted a different disease for the original one. In the case of a total proctocolectomy and Brooke ileostomy, the spectrum of "new" diseases is limited primarily to surgical complications such as prolapse, retraction, or intestinal obstruction. The roster of complications, how-