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Ileal pouch dysfunction.

TitleIleal pouch dysfunction.
Publication TypeJournal Article
Year of Publication2010
AuthorsPapadopoulos, V. N., Michalopoulos A., & Apostolidis S.
JournalTech Coloproctol
Volume14 Suppl 1
PaginationS83-5
Date Published2010 Nov
ISSN1128-045X
KeywordsColonic Pouches, Humans, Ileal Diseases, Pouchitis
Abstract

The causes of pouch dysfunction are inflammatory, non-inflammatory and iatrogenic. The most common long-term complication is pouchitis. Diagnosis should be based on clinical symptoms, endoscopic appearance and histologic findings. Ciprofloxacin and metronidazole are the treatment of choice for pouchitis. Fistulae and perianal abscesses should be suspected to be an expression of misdiagnosed Crohn's disease. Strictures are confronted by endoscopic balloon dilatation. Patients who will be refractory to all forms of medical treatment should have surgical treatment such as faecal diversion or pouch revision.

DOI10.1007/s10151-010-0630-z
Alternate JournalTech Coloproctol
PubMed ID20725759

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