Diagnosis and differential diagnosis of crohn's disease of the ileal pouch

被引：24
作者：
Yue Li
Bin Wu
Bo Shen
机构：
[1] Department of Gastroenterology, Peking Union Medical College Hospital, Beijing
[2] Department of Gastroenterology/Hepatology-Desk A31, Cleveland Clinic Foundation, Cleveland, OH 44195
来源：
Current Gastroenterology Reports | 2012年 / 14卷 / 5期
关键词：
Crohn's disease; Ileal pouch-anal anastomosis; Restorative proctocolectomy; Ulcerative colitis;
D O I：
10.1007/s11894-012-0282-4
中图分类号：
学科分类号：
摘要：
Approximately 20%-30% of patients with ulcerative colitis will eventually require colectomy despite recent advances in medical therapy. Ileal pouch-anal anastomosis has become the surgical treatment of choice. A subset of patients with ileal pouches can develop Crohn's disease or a Crohn'sdisease- like condition of the ileal pouch after surgery. Diagnosis, differential diagnosis, and management of Crohn's disease of the ileal pouch have been challenging. A combined assessment of clinical history, endoscopy, histology, abdominal/ pelvic imaging, and examination under anesthesia is often necessary for accurate diagnosis, disease classification, management, and prognosis. A multidisciplinary approach with gastroenterologists, colorectal surgeons, gastrointestinal pathologists, and radiologists is advocated. © Springer Science+Business Media, LLC 2012.
引用
收藏
页码：406 / 413
页数：7
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