Curbside Consultation of the Colon: 49 Clinical Questions

Brooks D. Cash, MD, FACP, CDR, MC, USN

Question 35: What Tips Can I Give My Surgical Colleagues Who Are Seeing Patients With Pouchitis? (continued)

L. Campbell Levy, MD; Corey A. Siegel, MD

Restorative proctocolectomy with ileal pouch-anal anastamosis (IPAA) is the surgical treatment of choice for patients with medically refractory ulcerative colitis (UC), for a complication of UC such as dysplasia or cancer, and for most patients with familial adenomatous polyposis syndrome.1 Approximately 25% to 30% of patients with UC eventually require proctocolectomy. Possible complications after IPAA include Crohn’s disease of the pouch, cuffitis, irritable pouch syndrome, and an idiopathic chronic inflammatory condition of the pouch referred to as pouchitis.