Classification, differential diagnosis, and diagnosis of pouchitis

Evaluation of patients with ileal pouch-anal anastomosis after total proctocolectomy who present with symptoms suggestive of pouchitis requires a systematic approach. Although idiopathic pouchitis is the most common cause of symptoms, evaluation for possible secondary causes of pouch inflammation and for potential disease mimickers is essential. After appropriate testing and assessement of response to treatment, disease can be classified based on response to antibiotics and as idiopathic or secondary.

Source: Seminars in Colon and Rectal Surgery - May 24, 2017 Category: Gastroenterology Authors: Jean-Paul Achkar Source Type: research