The role of endoscopy in the evaluation of pouches and ostomies.
Patients with ileal pouches and ostomies present with management issues that are challenging to the clinician. Endoscopy plays a significant role in diagnosing and guiding therapy in such patients. Unfortunately, there are very few prospective studies that evaluates endoscopy in these situations. Nevertheless, it is clear that endoscopy remains a powerful tool that is important for diagnosis and therapy of complications unique to these surgical procedures. It seems prudent to advocate endoscopic cancer surveillance for patients with pouches and ostomies; however, it remains to be seen whether these efforts will ultimately have an impact on long-term patient morbidity and mortality.
Ghali
Peter
P
Division of Gastroenterology and Hepatology, McGill University Health Center, Royal Victoria Hospital Site, Division of Gastroenterology, Ross 2.28, 687 Pine Avenue, Montreal, Quebec, Canada H3A.
Bitton
Alain
A
D039021:Colonic Pouches / Q000009:adverse effects*; D003125:Colostomy / Q000009:adverse effects*; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D009369:Neoplasms / Q000175:diagnosis / Q000209:etiology; D019449:Pouchitis / Q000175:diagnosis / Q000628:therapy; D012008:Recurrence