Persistent ileitis after ileal salvage from a failed Kock pouch.
A case of persistent ileitis following the refashioning of a Kock ileal pouch into a Brooke ileostomy for severe pouchitis is reported. Preserving the terminal ileum by a salvage procedure may not be a safe alternative to pouch excision with the formation of a new end ileostomy in the surgical management of pouchitis refractory to medical treatment.
de Silva
H J
HJ
Department of Gastroenterology, John Radcliffe Hospital, Oxford, United Kingdom.
Mortensen
N J
NJ
D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery; D005260:Female; D006801:Humans; D007079:Ileitis / Q000209:etiology* / Q000473:pathology; D007081:Ileostomy; D011183:Postoperative Complications / Q000473:pathology; D016737:Proctocolectomy, Restorative; D012086:Reoperation