Pouchitis
Pouchitis is a major long-term complication of the continent ileostomy as well as the ileoanal pouch anastomosis. When diagnosed on the basis of clinical, endoscopic and histologic features, this syndrome has been demonstrated almost exclusively in patients with ulcerative colitis. The clinical cour...
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| Format: | Article |
| Language: | English |
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Wiley
1998-01-01
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| Series: | Mediators of Inflammation |
| Online Access: | http://dx.doi.org/10.1080/09629359891117 |
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| _version_ | 1832554583989157888 |
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| author | W. R. Schouten |
| author_facet | W. R. Schouten |
| author_sort | W. R. Schouten |
| collection | DOAJ |
| description | Pouchitis is a major long-term complication of the continent ileostomy as well as the ileoanal pouch anastomosis. When diagnosed on the basis of clinical, endoscopic and histologic features, this syndrome has been demonstrated almost exclusively in patients with ulcerative colitis. The clinical course, the endoscopic findings and the histologic abnormalities resemble those of ulcerative colitis. The association with extra-intestinal manifestations further supports the hypothesis that pouchitis represents ulcerative colitis in the small bowel. All ileal reservoirs show bacterial overgrowth, especially of anaerobes. As a response to this altered intraluminal environment chronic inflammation and incomplete colonic metaplasia occur. The efficiency of metronidazole does suggest that bacteriological factors play an important role in the pathogenesis of pouchitis. |
| format | Article |
| id | doaj-art-a48bd6e640c040138ff79bfb3dcac20c |
| institution | Kabale University |
| issn | 0962-9351 1466-1861 |
| language | English |
| publishDate | 1998-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Mediators of Inflammation |
| spelling | doaj-art-a48bd6e640c040138ff79bfb3dcac20c2025-02-03T05:51:06ZengWileyMediators of Inflammation0962-93511466-18611998-01-017317518110.1080/09629359891117PouchitisW. R. Schouten0Department of Surgery, University Hospital Dijkzigt, Dr. Molewaterplein 40, Rotterdam 3015 GD, The NetherlandsPouchitis is a major long-term complication of the continent ileostomy as well as the ileoanal pouch anastomosis. When diagnosed on the basis of clinical, endoscopic and histologic features, this syndrome has been demonstrated almost exclusively in patients with ulcerative colitis. The clinical course, the endoscopic findings and the histologic abnormalities resemble those of ulcerative colitis. The association with extra-intestinal manifestations further supports the hypothesis that pouchitis represents ulcerative colitis in the small bowel. All ileal reservoirs show bacterial overgrowth, especially of anaerobes. As a response to this altered intraluminal environment chronic inflammation and incomplete colonic metaplasia occur. The efficiency of metronidazole does suggest that bacteriological factors play an important role in the pathogenesis of pouchitis.http://dx.doi.org/10.1080/09629359891117 |
| spellingShingle | W. R. Schouten Pouchitis Mediators of Inflammation |
| title | Pouchitis |
| title_full | Pouchitis |
| title_fullStr | Pouchitis |
| title_full_unstemmed | Pouchitis |
| title_short | Pouchitis |
| title_sort | pouchitis |
| url | http://dx.doi.org/10.1080/09629359891117 |
| work_keys_str_mv | AT wrschouten pouchitis |