Pelvic Pouch Failure: Treatment Options

Patricio B. Lynn; Stephen Brandstetter; David M. Schwartzberg

doi:10.1055/s-0042-1758140

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2022; 35(06): 487-494
DOI: 10.1055/s-0042-1758140

Review Article

Pelvic Pouch Failure: Treatment Options

Patricio B. Lynn

¹Division of Colorectal Surgery, New York–Presbyterian/Weill-Cornell Medical Center, New York, New York

,

Stephen Brandstetter

²Department of Surgery, Cleveland Clinic Foundation-Akron, Cleveland, Ohio

,

David M. Schwartzberg

³Division of Colorectal Surgery & Inflammatory Bowel Disease, Department of Surgery, New York–Presbyterian/Columbia University Medical Center, New York, New York

› Author Affiliations

Abstract

Up to 30% of patients with ulcerative colitis (UC) will require surgical management of their disease during their lifetime. An ileal pouch-anal anastomosis (IPAA) is the gold standard of care, giving patients the ability to be free from UC's bowel disease and avoid a permanent ostomy. Despite surgical advancements, a minority of patients will still experience pouch failure which can be debilitating and often require further surgical interventions. Signs and symptoms of pouch failure should be addressed with the appropriate workup and treatment plans formulated according with the patient's wishes. This article will discuss the identification, workup, and treatment options for pouch failure after IPAA.

Keywords

ulcerative colitis - total proctocolectomy - ileal pouch-anal anastomosis - redo pouch - pouch failure

Full Text

References

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