Treatment of acute pouchitis

Sullivan, John; Katz, Jeffry

doi:10.1053/j.scrs.2017.05.005

Cited by 1 publication

(1 citation statement)

References 57 publications

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“…Further, 34% will develop an episode of pouchitis that is easily treated and does not recur, while 61% will suffer at least a second episode, of which 16% will go on to develop chronic or refractory pouchitis. [14,15]…”

Section: Discussionmentioning

confidence: 99%

Dual arterial blood supply D-pouch in a patient with ulcerative colitis undergoing proctocolectomy and ileal pouch-anal anastomosis

Zhang

Qian

et al. 2019

Medicine

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Introduction: Pouchitis is the most common complication in Ulcerative colitis (UC) patients after restorative proctocolectomy with ileal pouch-anal anastomosis (RP-IPAA) and ischemia may be a significant contributing factor. Tension and blood supply are the primary concerns while performing the procedure. A dual arterial blood supply technique is designed to decrease tension while ensuring sufficient blood perfusion. Patient concerns: A 61-year-old female patient with 14 years history of UC wanted to seek surgical treatment. Diagnoses: Ulcerative colitis. Interventions: After physical examination and treatment of parenteral nutrition, the patient underwent a D-pouch with dual arterial blood supply after total proctocoloectomy. Outcomes: The patient recovered well and was discharged 10 days after her procedure. Postoperatively dual arterial blood supply to the D-pouch was demonstrated by computed tomography angiography (CTA). Conclusion: D-pouch with dual arterial blood supply is feasible and safe in patients with UC undergoing RP-IPAA.

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Section: Discussionmentioning

confidence: 99%