Ileal Pouch Anal Anastomosis and Crohn's Disease

Ismail Sagap, Feza H. Remzi

Research output: Contribution to journalArticle

Abstract

Restorative proctocolectomy with ileal pouch-anal anastomosis is the surgical treatment of choice in ulcerative colitis and the majority of patients with familial adenomatous polyposis. The indication for restorative surgery in Crohn's disease, however, is controversial. When ileal pouch-anal anastomosis is performed in a patient with Crohn's disease, significant morbidities such as peripouch abscess, pouchitis, chronic fistulae, and strictures can develop and lead to pouch failure. However, some reports suggest that ileoanal pouch procedures can successfully treat certain cases of colonic Crohn's disease, mainly patients without perianal and small intestinal diseases. Efforts continue to identify the clinical, histological, and endoscopic features that represent these Crohn's patients who will benefit from restorative surgery.

Original languageEnglish
Pages (from-to)91-95
Number of pages5
JournalSeminars in Colon and Rectal Surgery
Volume17
Issue number2
DOIs
Publication statusPublished - Jun 2006
Externally publishedYes

Fingerprint

Colonic Pouches
Crohn Disease
Surgical Anastomosis
Restorative Proctocolectomy
Pouchitis
Colonic Diseases
Intestinal Diseases
Adenomatous Polyposis Coli
Ulcerative Colitis
Abscess
Fistula
Pathologic Constriction
Morbidity
Therapeutics

Keywords

  • Crohn's disease
  • ileal pouch-anal anastomosis

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Ileal Pouch Anal Anastomosis and Crohn's Disease. / Sagap, Ismail; Remzi, Feza H.

In: Seminars in Colon and Rectal Surgery, Vol. 17, No. 2, 06.2006, p. 91-95.

Research output: Contribution to journalArticle

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