[A case of chronic pouchitis resistant to medical treatment].
Pouchitis, a non-specific acute inflammation occurring in the ileal pouch, is one of the most common complications developed after the restorative proctocolectomy and ileal pouch-anal anastomosis (IPAA) performed for the treatment for the patients with ulcerative colitis and familial adenomatous polyposis. The prevalence of pouchitis is known to range from 20% to 50%. One to two percent of the cases are chronic and resistant to the drug therapy. The effective treatment for this chronic resistant pouchitis is to remove the ileal pouch and perform the permanent ileostomy. Hereby, we report one case of chronic pouchitis resistant to multiple drug therapy developed after IPAA performed for the treatment of ulcerative colitis in a patient.
Chang
Jae Young
JY
Department of Internal Medicine, Kyung Hee University College of Medicine, Dongdaemoon-gu, Seoul, Korea.
Kim
Hyo Jong
HJ
Kim
Wan Jung
WJ
Jung
Yong Hee
YH
Lee
Byoung Wook
BW
Han
Yo Seb
YS
Dong
Seok Ho
SH
Kim
Byung-Ho
BH
Chang
Young Woon
YW
Lee
Joung Il
JI
Chang
Rin
R
D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D019449:Pouchitis / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D017211:Treatment Failure