Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium
Restorative proctocolectomy with ileal pouch–anal anastomosis is an option for most patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Although the construction of an ileal pouch substantially improves patients' health-related quality of life, the surgery...
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| Veröffentlicht in: | The lancet. Gastroenterology & hepatology 2021-10, Vol.6 (10), p.826-849 |
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| creator | Shen, Bo Kochhar, Gursimran S Kariv, Revital Liu, Xiuli Navaneethan, Udayakumar Rubin, David T Cross, Raymond K Sugita, Akira D'Hoore, André Schairer, Jason Farraye, Francis A Kiran, Ravi P Fleshner, Philip Rosh, Joel Shah, Samir A Chang, Shannon Scherl, Ellen Pardi, Darrell S Schwartz, David A Kotze, Paulo G Bruining, David H Kane, Sunanda V Philpott, Jessica Abraham, Bincy Segal, Jonathan Sedano, Rocio Kayal, Maia Bentley-Hibbert, Stuart Tarabar, Dino El-Hachem, Sandra Sehgal, Priya McCormick, James T Picoraro, Joseph A Silverberg, Mark S Bernstein, Charles N Sandborn, William J Vermeire, Séverine |
| description | Restorative proctocolectomy with ileal pouch–anal anastomosis is an option for most patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Although the construction of an ileal pouch substantially improves patients' health-related quality of life, the surgery is, directly or indirectly, associated with various structural, inflammatory, and functional adverse sequelae. Furthermore, the surgical procedure does not completely abolish the risk for neoplasia. Patients with ileal pouches often present with extraintestinal, systemic inflammatory conditions. The International Ileal Pouch Consortium was established to create this consensus document on the diagnosis and classification of ileal pouch disorders using available evidence and the panellists' expertise. In a given individual, the condition of the pouch can change over time. Therefore, close monitoring of the activity and progression of the disease is essential to make accurate modifications in the diagnosis and classification in a timely manner. |
| doi_str_mv | 10.1016/S2468-1253(21)00101-1 |
| format | Article |
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| title | Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium |
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