Late complications of an ileal pouch

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Characterization of the Gut-Associated Microbiome in Inflammatory Pouch Complications Following Ileal Pouch-Anal Anastomosis

INTRODUCTION Inflammatory complications following ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC) are common and thought to arise through mechanisms similar to de novo onset inflammatory bowel disease. The aim of this study was to determine whether specific organisms in the tissue-associated microbiota are associated with inflammatory pouch complications. METHODS Patients havi...

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Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog

Background: The gold standard of the management of rectal cancer in the middle and lower parts is low anterior resection with coloanal anastomosis. About 50% of the patients undergoing this procedure might experience some complications because of the low capacity of the neorectum. The aim of this study was to evaluate ileal J-pouch interposition as a neorectum between the anal canal and the rem...

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Adverse metabolic sequelae following restorative proctocolectomy with an ileal pouch.

Ileal pouch-anal anastomosis (IPAA) following total proctocolectomy has become the surgical treatment of choice for ulcerative colitis patients who have medically refractory disease or neoplasia. Unfortunately, various metabolic complications have been reported with this surgical procedure, including anemia, vitamin B(12) deficiency, bile salt and fat malabsorption, vitamin D deficiency, bone l...

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Intestinal permeability in the ileal pouch.

BACKGROUND Villous atrophy, mucin changes ('colonic metaplasia'), and chronic inflammation occur to varying degrees in all patients with ileal pouchanal anastomosis whereas acute inflammation (pouchitis) affects a subgroup of patients with prior ulcerative colitis. AIM To measure epithelial barrier function looking for possible functional adaptation in ileal 'pouch' mucosa. PATIENTS Patient...

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[Ileal pouch-anal anastomosis for ulcerative colitis: complications and long term functional results].

BACKGROUND The ileo anal-pouch-anastomosis (IPAA) is the treatment of choice for patients with ulcerative colitis (UC). AIM To analyze the surgical outcomes, long term evolution and functional results of IPAA. MATERIAL AND METHODS All patients subjected to an IPAA, from 1984 to 2006 were identified from a prospectively constructed inflammatory bowel disease database. Surgical variables, pos...

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ژورنال

عنوان ژورنال: Gut

سال: 2005

ISSN: 0017-5749

DOI: 10.1136/gut.2004.062547