Ouch, my pouch! a clinician's guide to pouchitis

Semin Pediatr Surg. 2024 Apr;33(2):151406. doi: 10.1016/j.sempedsurg.2024.151406. Epub 2024 Mar 28.

Abstract

Pouchitis is defined as inflammation of the ileal pouch created during a restorative proctocolectomy with ileal pouch-anal anastomosis. Although the incidence of this inflammatory condition is high, the exact etiology often remains unclear and the management challenging. In this review, we summarize the clinical presentation, pathogenesis, diagnosis, and management of this common complication.

Keywords: Crohn's disease of the pouch; Cuffitis; Ileal pouch-anal anastomosis; Ileitis; Pouchitis; Proctocolectomy.

Publication types

  • Review

MeSH terms

  • Colitis, Ulcerative / diagnosis
  • Colitis, Ulcerative / surgery
  • Colonic Pouches / adverse effects
  • Humans
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Pouchitis* / diagnosis
  • Pouchitis* / etiology
  • Pouchitis* / therapy
  • Proctocolectomy, Restorative* / adverse effects
  • Proctocolectomy, Restorative* / methods