Question 171
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A 48-year-old man with a history of ulcerative colitis (UC) underwent the closure of a diverting ileostomy following an open restorative proctocolectomy with the creation of a J-pouch. Three weeks following stoma closure, he develops enteric drainage from his midline surgical-site, and computed tomography (CT) demonstrates a fistula tract from the tip of the J pouch. This drainage persists after an additional 4 weeks of observation. What is the most appropriate next step in management for this patient?
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Citation
"Question 171." CARSEP XII, ASCRS U, www.ascrsu.com/ascrs/view/CARSEP XII/3094171/all/Benign_Disease. Accessed 21 April 2026.
Question 171. CARSEP XII. https://www.ascrsu.com/ascrs/view/CARSEP XII/3094171/all/Benign_Disease. Accessed April 21, 2026.
Question 171. In CARSEP XII https://www.ascrsu.com/ascrs/view/CARSEP XII/3094171/all/Benign_Disease
Question 171 [Internet]. In: CARSEP XII. [cited 2026 April 21]. Available from: https://www.ascrsu.com/ascrs/view/CARSEP XII/3094171/all/Benign_Disease.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Question 171
ID - 3094171
BT - CARSEP XII
UR - https://www.ascrsu.com/ascrs/view/CARSEP XII/3094171/all/Benign_Disease
DB - ASCRS U
DP - Unbound Medicine
ER -
CARSEP XII

