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Classification of ileal pouch disorders and associated complications

Classification of ileal pouch disorders and associated complications
Surgical and mechanical
  • Anastomotic leaks
  • Pelvic sepsis and abscess
  • Pouch sinuses
  • Pouch fistulas
  • Strictures
  • Afferent limb syndrome and efferent limb syndrome
  • Infertility and sexual dysfunction
  • Portal vein thrombi
  • Pouch prolapse, twisted pouch bleeding, sphincter injury or dysfunction
Inflammatory and infectious
  • Pouchitis
  • Cuffitis
  • Crohn disease of the pouch
  • Proximal small bowel bacterial overgrowth
  • Inflammatory polyps
Functional
  • Irritable pouch syndrome
  • Anismus
  • Pseudo-obstruction
Dysplastic and neoplastic
  • Dysplasia or cancer of the pouch
  • Dysplasia or cancer of the anastomosis
Systemic and metabolic
  • Anemia
  • Bone loss
  • Vitamin B12 deficiency
Reproduced with permission from: Shen, B, Remzi, FH, Lavery, IC, et al. A Proposed Classification of Ileal Pouch Disorders and Associated Complications After Restorative Proctocolectomy. Clin Gastroenterol Hepatol 2008; 6:145. Copyright © 2008 Elsevier.
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