Episode 4: Failing Pouch: Take Out vs. Leave In
Description
Proportion of patients undergoing IPAA surgery will need to return to ileostomy. What to do about their pouch remains controversial. How to balance residual symptoms and need for surveillance once patient committed to permanent stoma with risks of re-operative pelvic surgery. Professors Kapadia and Larson debate this very interesting topic.
Speakers:
Take Out - David Larson, MD
Leave In - Muneera Kapadia, MD
Moderators:
Jean Ashburn, MD
Vitaliy Poylin, MD
IBD Debate Recording
Last updated: August 13, 2025
Citation
"Episode 4: Failing Pouch: Take Out Vs. Leave In." ASCRS Toolkit - FREE Resources, 2025. ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Toolkit/2851111/all/Episode_4:_Failing_Pouch:_Take_Out_vs__Leave_In.
Episode 4: Failing Pouch: Take Out vs. Leave In. ASCRS Toolkit - FREE Resources. 2025. https://www.ascrsu.com/ascrs/view/ASCRS-Toolkit/2851111/all/Episode_4:_Failing_Pouch:_Take_Out_vs__Leave_In. Accessed June 4, 2026.
Episode 4: Failing Pouch: Take Out vs. Leave In. (2025). In ASCRS Toolkit - FREE Resources https://www.ascrsu.com/ascrs/view/ASCRS-Toolkit/2851111/all/Episode_4:_Failing_Pouch:_Take_Out_vs__Leave_In
Episode 4: Failing Pouch: Take Out Vs. Leave In [Internet]. In: ASCRS Toolkit - FREE Resources. ; 2025. [cited 2026 June 04]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Toolkit/2851111/all/Episode_4:_Failing_Pouch:_Take_Out_vs__Leave_In.
* Article titles in AMA citation format should be in sentence-case
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T1 - Episode 4: Failing Pouch: Take Out vs. Leave In
ID - 2851111
Y1 - 2025/08/13/
BT - ASCRS Toolkit - FREE Resources
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Toolkit/2851111/all/Episode_4:_Failing_Pouch:_Take_Out_vs__Leave_In
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Toolkit - FREE Resources

