A patient with ulcerative colitis and an ileal pouch anal-anastomosis (IPAA) may develop a chronic pouchitis. A number of factors may identify a patient who is at increased risk for this complication.


Factors associated with pouchitis:

(1) pancolitis (with colitis extending to the cecum)

(2) appendiceal ulcerations

(3) fissuring ulcers

(4) diffuse chronic dudodenitis


A patient with one or more of these findings should be managed moer aggressively.


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