Outcome of salvage surgery for ileal pouches referred with a diagnosis of Crohn's disease

Diseases of the Colon and Rectum
Kelly A GarrettRavi P Kiran

Abstract

Technical complications after ileal pouch-anal anastomosis may be mislabeled as Crohn's disease. The purpose of our study is to evaluate the presentation, treatment, and outcomes of patients with a potential misdiagnosis of Crohn's disease who have undergone redo ileal pouch-anal anastomosis. We evaluated a historical cohort of patients, initially referred from outside institutions with a diagnosis of Crohn's disease of the pouch, who subsequently had redo ileal pouch-anal anastomosis (redo pouch or pouch revision for pouch failure) at our institution. With the use of validated questionnaires, the functional outcomes and quality of life of this cohort were compared with a control group of patients who underwent primary ileal pouch-anal anastomosis to assess whether a change in the diagnosis from Crohn's disease to technical complications was appropriate. Thirty-three patients underwent a redo pouch procedure for a previous diagnosis of Crohn's disease of the pouch. Precolectomy diagnosis included ulcerative colitis (31 patients) and indeterminate colitis (2 patients). Findings on our further evaluation and subsequent indications for repeat pouch surgery included pouch fistula (20 patients), pelvic sepsis or anastomotic leak (17...Continue Reading

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Citations

Apr 2, 2013·Digestive Diseases and Sciences·Shuchi AgarwalFrancis A Farraye
Nov 28, 2012·The Surgical Clinics of North America·Todd D Francone, Brad Champagne
Feb 7, 2012·The British Journal of Surgery·P M Sagar, J H Pemberton
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Apr 12, 2019·Current Opinion in Gastroenterology·Christopher MascarenhasTracy Hull
Mar 10, 2020·Diseases of the Colon and Rectum·Olga A LavrykTracy L Hull
May 10, 2020·Diseases of the Colon and Rectum·Olga A LavrykTracy L Hull
Nov 2, 2019·International Journal of Colorectal Disease·Olga A Lavryk, Tracy L Hull
Jul 22, 2020·Diseases of the Colon and Rectum·H Hande AydinliFeza H Remzi
Mar 20, 2012·Diseases of the Colon and Rectum·E ManilichR P Kiran
Nov 1, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Holly CarpenterStefano Andreani
Feb 2, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Mohammed DeputyAilsa Hart
Oct 31, 2020·Gastroenterology Clinics of North America·Michael J Grieco, Feza H Remzi
Jul 13, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Eren EsenFeza H Remzi

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