Clinical Challenges and Complications of IBD

Miguel D Regueiro, MD; Jason Swoger, MD MPH

Chapter 18: Ulcerative Colitis Pouchitis And Stoma Complications (continued)

Udayakumar Navaneethan, MD; Bo Shen, MD

Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the surgical treatment of choice for patients with medically refractory ulcerative colitis (UC), colitis-associated neoplasia, or familial adenomatous polyposis (FAP).1,2 Approximately 30% of UC patients eventually require colectomy, with the majority electing to undergo IPAA. The postoperative course may be affected by a number of inflammatory and noninflammatory complications, including pouchitis, Crohn’s disease (CD) of the pouch, cuffitis, and irritable pouch syndrome. Each of these entities may adversely…