1. Medical management of patients with ileal pouch anal anastomosis after restorative procto-colectomy
- Author
-
Alastair Forbes, David H. Dewar, Matthew W. Johnson, Partha Das, Paul J. Ciclitira, and Richard John Nicholls
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Colonic Pouches ,Primary care ,Pouchitis ,Inflammatory bowel disease ,Postoperative Complications ,Malabsorption Syndromes ,Recurrence ,medicine ,Ambulatory Care ,Humans ,Colectomy ,Postoperative Care ,Hepatology ,business.industry ,General surgery ,Proctocolectomy, Restorative ,Gastroenterology ,medicine.disease ,Ulcerative colitis ,Surgery ,Ileal Pouch Anal Anastomosis ,Anti-Bacterial Agents ,Bone Diseases, Metabolic ,Sexual Dysfunction, Physiological ,Adenomatous Polyposis Coli ,Colitis, Ulcerative ,Female ,Pouch ,Elective Surgical Procedure ,business - Abstract
Restorative procto-colectomy with ileal pouch anal anastomosis has become the most common elective surgical procedure for patients with ulcerative colitis and is becoming popular in those with familial adenomatous polyposis coli. The procedure itself is primarily carried out in specialist surgical centres but an increasing number are being performed and followed up in district general hospitals. These patients are now filtering through general surgical and gastroenterology clinics and are frequently seen in primary care. Pouchitis, an inflammatory condition of the ileal pouch, has become the third most important form of inflammatory bowel disease. As research develops in this area, other complications are being found. The aim of this review is to provide an up-to-date, evidence-based approach to the clinical management of these patients.
- Published
- 2008