Complications of the Pelvic Pouch

Jean H. Ashburn, David W. Dietz
Complications of the Pelvic Pouch is a topic covered in the ASCRS Textbook of Colon and Rectal Surgery.

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Key Concepts

  • Pelvic sepsis is the most common cause of pouch loss.
  • Patients with IPAA dysfunction should undergo a structured assessment.
  • Pouch dysfunction is often inappropriately ascribed to a diagnosis of Crohn’s disease.
  • Fecal diversion may palliate disabling symptoms from pouch dysfunction.
  • Pouchitis is the most common complication of IPAA.

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Key Concepts

  • Pelvic sepsis is the most common cause of pouch loss.
  • Patients with IPAA dysfunction should undergo a structured assessment.
  • Pouch dysfunction is often inappropriately ascribed to a diagnosis of Crohn’s disease.
  • Fecal diversion may palliate disabling symptoms from pouch dysfunction.
  • Pouchitis is the most common complication of IPAA.

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Last updated: January 26, 2022