title: [A case of chronic pouchitis resistant to medical treatment].
abstract: 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.
authors.affiliation: Department of Internal Medicine, Kyung Hee University College of Medicine, Dongdaemoon-gu, Seoul, Korea.
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Chang
authors.forename: Hyo Jong
authors.initials: HJ
authors.lastname: Kim
authors.forename: Wan Jung
authors.initials: WJ
authors.lastname: Kim
authors.forename: Yong Hee
authors.initials: YH
authors.lastname: Jung
authors.forename: Byoung Wook
authors.initials: BW
authors.lastname: Lee
authors.forename: Yo Seb
authors.initials: YS
authors.lastname: Han
authors.forename: Seok Ho
authors.initials: SH
authors.lastname: Dong
authors.forename: Byung-Ho
authors.initials: BH
authors.lastname: Kim
authors.forename: Young Woon
authors.initials: YW
authors.lastname: Chang
authors.forename: Joung Il
authors.initials: JI
authors.lastname: Lee
authors.forename: Rin
authors.initials: R
authors.lastname: Chang
mesh_terms: D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D019449:Pouchitis / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D017211:Treatment Failure