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Clin Colon Rectal Surg 2022; 35(01): 078-088
DOI: 10.1055/s-0041-1740032
Review Article

Therapeutic Endoscopy in Postoperative Pouch Complications

Saurabh Chandan
1   Gastroenterology and Hepatology, CHI Health Creighton University Medical Center, Omaha, Nebraska
,
Bo Shen
2   Center for Ileal Pouch Disorders, Columbia University Irving Medical Center-NewYork Presbyterian Hospital, New York, New York
,
Gursimran S. Kochhar
3   Gastroenterology and Hepatology, Allegheny Health Network, Pittsburgh, Pennsylvania
› Author Affiliations Funding None.
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Abstract

Ileal pouch-anal anastomosis (IPAA) or “J”-pouch as it is commonly referred to, is the treatment of choice in patients with medically refractory ulcerative colitis. IPAA can have infectious, inflammatory, and mechanical complications. Currently, there are no Food and Drug Administration-approved medical therapies for these complications. Surgery that may be eventually required can have significant morbidities due to the complexity of IPAA. Endoscopy is fast emerging as a leading modality of treatment for some of these pouch complications. Endoscopy in adjunct with medical treatment can help manage the majority of pouch-related disorders and improve the outcome.

Keywords

ileal pouch-anal anastomosis - Crohn's disease - ulcerative colitis


Publication History

Article published online:
17 January 2022

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