title: A proposed classification of ileal pouch disorders and associated complications after restorative proctocolectomy.
abstract: Both medical and surgical therapies for ulcerative colitis have inherent advantages and disadvantages that must be balanced for patients with moderate to severe disease. Restorative proctocolectomy with ileal pouch-anal anastomosis has become the surgical treatment of choice for the majority of patients with ulcerative colitis who require proctocolectomy. However, adverse sequelae of mechanical, inflammatory, functional, neoplastic, and metabolic conditions related to the pouch can occur postoperatively. Recognition and familiarization of the disease conditions related to the ileal pouch can be challenging for practicing gastroenterologists. Accurate diagnosis and classification of the disease conditions are imperative for proper management and prognosis.
authors.affiliation: Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. shenb@ccf.org
authors.forename: Bo
authors.initials: B
authors.lastname: Shen
authors.forename: Feza H
authors.initials: FH
authors.lastname: Remzi
authors.forename: Ian C
authors.initials: IC
authors.lastname: Lavery
authors.forename: Bret A
authors.initials: BA
authors.lastname: Lashner
authors.forename: Victor W
authors.initials: VW
authors.lastname: Fazio
mesh_terms: D003093:Colitis, Ulcerative / Q000150:complications* / Q000601:surgery; D039021:Colonic Pouches / Q000473:pathology*; D006801:Humans; D007410:Intestinal Diseases / Q000145:classification* / Q000175:diagnosis*; D011183:Postoperative Complications / Q000145:classification* / Q000175:diagnosis*; D016737:Proctocolectomy, Restorative