Pouchitis and Inflammatory Pouch Disorders

Publication Date: December 18, 2023

Key Points

Key Points

  • Pouchitis is the most common complication after restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) for ulcerative colitis. It affects 48% of patients within the worst 2 years after IPAA and up to 80% of patients at some point after IPAA.
  • Multiple strategies, some only recently developed, have been used in the treatment and prevention of pouchitis and inflammatory pouch conditions, including antibiotics, probiotics, corticosteroids, and advanced immunosuppressive therapies (eg, biologics and oral small molecule drugs).
  • This guideline provides guidance on the management of pouchitis and other inflammatory disorders (such as Crohn’s-like disease of the pouch and cuffitis) that can occur after colectomy with IPAA.

Prevention

...evention...

...ntion of Pouchiti...

...n patients with ulcerative colitis (UC)...

...patients with UC who undergo IPAA, t...


Treatment

...reatment...

...ment of Pouchitis...

...ients with UC who have undergone IPAA an...

...tients with UC who have undergone IPAA and expe...

...atients with UC who have undergone IP...

...UC who have undergone IPAA and experience recur...

...UC who have undergone IPAA and experien...

...n patients with UC who have underg...

...nts with UC who have undergone IPAA and ex...

...patients with UC who have undergone IPAA and have...


...ment of Crohn’s-Like Disease of...

...s with UC who have undergone IPAA and develop...

...ts with UC who have undergone IPAA and develop sym...


...eatment of Cuf...

...ients with UC who have undergone IPAA and develo...


...ouchitis and Inflammatory Pouch Disorders...