Pouchitis |
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Authors: | Yu En-Da Shao Zhuo Shen Bo |
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Affiliation: | 1. Department of Colorectal Surgery, Shanghai Changhai Hospital, Shanghai 200438, China 2. Department of Biliary Surgery, Eastern Hepatobiliary Hospital, Shanghai 200438, China 3. Digestive Disease Center, Cleveland Clinic, Cleveland, OH 44195, United States |
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Abstract: | While restorative proctocolectomy with ileal pouch-anal anastomosis has significantly improved the quality of life in patients with underlying ulcerative colitis who require surgery,complications can occur.Pouchitis as the most common long-term complication represents a spectrum of disease processes ranging from acute,antibiotic-responsive type to chronic antibiotic-refractory entity.Accurate diagnosis using a combined assessment of symptoms,endoscopy and histology and the stratification of clinical phenotypes is important for treatment and prognosis the disease.The majority of patients respond favorably to antibiotic therapy.However,management of chronic antibiotic-refractory pouchitis remains a challenge. |
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Keywords: | Classification Complication Ileal pouch Inflammatory bowel disease Restorative proctocolectomy |
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