Open Proctocolectomy with Ileal Pouch-Anal Anastomosis (IPAA)

2020 ◽  
pp. 97-98
Author(s):  
Giulio Giambartolomei ◽  
David Gutierrez ◽  
Andrea M. Petrucci ◽  
Giovanna Dasilva
Keyword(s):  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis

scholarly journals Minimally invasive ileal pouch-anal anastomosis for patients with obesity: a propensity score-matched analysis

2021 ◽  
Author(s):  
Mohamed A. Abd El Aziz ◽  
Giacomo Calini ◽  
Fabian Grass ◽  
Kevin T. Behm ◽  
Anne-Lise D’ Angelo ◽  
...  
Keyword(s):  
Propensity Score ◽  
Minimally Invasive ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis

Recurrence of Clostridium Difficile and Cytomegalovirus Infections in Patients with Ulcerative Colitis Who Undergo Ileal Pouch-Anal Anastomosis

2021 ◽  
Author(s):  
Jonathan Pastrana Del Valle ◽  
Grace C. Lee ◽  
Jose Cataneo Serrato ◽  
Joseph D. Feuerstein ◽  
Liliana Grigorievna Bordeianou ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Clostridium Difficile ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis ◽  
Cytomegalovirus Infections

scholarly journals Medical treatment of pouchitis: a guide for the clinician

2021 ◽  
Vol 14 ◽  
pp. 175628482110233
Author(s):  
Wendy Rabbenou ◽  
Shannon Chang
Keyword(s):  
Medical Treatment ◽  
Ileal Pouch ◽  
Lifestyle Changes ◽  
Ileal Pouch Anal Anastomosis ◽  
First Year ◽  
Common Complication ◽  
Plain Language ◽  
Stool Incontinence ◽  
Anal Anastomosis ◽  
Bowel Movements

Pouchitis is the most common complication in patients who have undergone restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA). Up to 81% of IPAA patients experience pouchitis, with 40% of patients presenting within the first year of surgery. Common risk factors include genetic mutations, extensive colitis, rheumatologic disorders, and primary sclerosing cholangitis. Currently, there are no medications with approved indications for pouchitis. As such, the conventional treatment of pouchitis is entirely off-label. This paper is intended to be a practical and up-to-date review of available therapies used for the management of pouchitis. The mainstay of treatment for acute pouchitis remains antibiotics, but newer therapeutics have also shown promise in the treatment of chronic pouchitis. Common lifestyle considerations that may play a role in pouchitis are also reviewed. Plain language summary Medical treatment of pouchitis: a guide for the clinician The ileal pouch-anal anastomosis (“pouch”) is the most common way patients who require surgery to remove their colon are able to avoid a permanent ileostomy (“ostomy”). This pouch, created from the small intestines, serves as a reservoir to hold stool. The most common complication after pouch surgery is pouchitis. Pouchitis symptoms include more frequent bowel movements, urgency to defecate, blood in the stool, incontinence, and abdominal pain. This paper is intended to be a practical review of available therapies including medications and lifestyle changes that can be considered for the management of acute pouchitis, chronic pouchitis, and cuffitis.

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