Solitary pouch ulcer syndrome-a newly recognized phenotype of the ileal pouch disorders  

作　　者：Bo Shen Huai-Bin Mabel Ko Hong Ma Ravi Kiran James Church 

机构地区：[1]The Global Integrated Center for Colorectal Surgery and IBD Interventional Endoscopy,Columbia University Irving Medical Center/New York-Presbyterian Hospital,New York,NY,USA [2]Department of Pathology and Cell Biology,Columbia University Irving Medical Center/New York Presbyterian Hospital,New York,NY,USA [3]Division of Abdominal Radiology,Columbia University Irving Medical Center/New York Presbyterian Hospital,New York,NY,USA

出　　处：《Gastroenterology Report》2024年第1期845-847,共3页胃肠病学报道(英文)

摘　　要：Introduction Pouchitis is the most common long-term sequela after restorative proctocolectomy and ileal pouch-anal anastomosis(IPAA)for ulcerative colitis[1].The patient with pouchitis commonly presented with frequent bowel movements,abdominal pain,urgency,and rarely bleeding.Most patients with initial episodes of pouchitis respond favorably to oral antibiotics.However,some patients required maintenance therapy of antibiotics to keep the symptoms in remission.Clinically,we have noticed that stool frequency,urgency,antibiotic dependency,and sometimes bleeding in some patients result from dyschezia and incomplete evacuation from structural or functional outlet obstruction.Here,we described a representative case from our Pouch Center in which the patient presents with dyschezia,frequent stool,solitary ulcer at the distal pouch fold,and abnormal anopouch manometry.

关 键 词：ILEAL BLEEDING incomplete 

分 类 号：R57[医药卫生—消化系统]