Pouchitis

Current Opinion in Gastroenterology

Volumn 14, Issue 4, 1998, Pages 322-326

  Heppell, Jacques ^a   Kelly, Keith ^a  

^a MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANUS SPHINCTER; CONTINENCE; DEFECATION; HUMAN; ILEITIS; ILEOSTOMY; ILEUM POUCH; PROCTOCOLECTOMY; SHORT SURVEY; SURGICAL TECHNIQUE; ULCERATIVE COLITIS;

EID: 0031902409     PISSN: 02671379     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001574-199807000-00009     Document Type: Short Survey

References (26)

1. ter Borg EJ, Nadorp JH, Elbers JR: Ileal pouch arthritis: a case report. Eur J Gastroenterol Hepatol 1996, 8:957-959.
2. Merrett MN, Soper N, Mortensen N, Jewell DP: Intestinal permeability in the ileal pouch. Gut 1996, 39:226-230. "Pouchitis" occurring in pouches is associated with increased mucosal permeability, whereas villous atrophy and colonic metaplasia are not.
3. Hurst RD, Molinari M, Chung TP, Rubin M, Michelassi F: Prospective • study of the incidence, timing and treatment of pouchitis in 104 consecutive patients after restorative proctocolectomy. Arch Surg 1996, 131:497-502. In this prospective study, the diagnosis of pouchitis was made on the clinical symptoms experienced by the patient, reserving endoscopy for those with recurrent or persistent symptoms.
4. Keighley MR: Review article: the management of pouchitis. Aliment Pharmacol Ther 1996, 10:449-457.
5. Penna C, Dozois R, Tremaine W, Sandborn W, LaRusso N, Schleck C, Ilstrup D: Pouchitis after ileal pouch-anal anastomosis for ulcerative colitis occurs with increased frequency in patients with associated primary sclerosing cholangitis. Gut 1996, 38:234-239.
6. Romanos J, Samarasekera DN, Stebbing JF, Jewell DP, Kettlewell MG, Mortensen NJ: Outcome of 200 restorative proctocolectomy operations: the John Radcliffe Hospital experience. Br J Surg 1997, 84:814-818.
7. MacRae HM, McLeod RS, Cohen Z, O'Connor BI, Ton EN: Risk factors for pelvic pouch failure. Dis Colon Rectum 1997, 40:257-262.
8. Korsgen S, Keighley MR: Causes of failure and life expectancy of the ileoanal pouch. Int J Colorectal Dis 1997, 12:4-8.
9. Stahlberg D, Gullberg K, Liljeqvist L, Hellers G, Lofberg R: Pouchitis • following pelvic pouch operation for ulcerative colitis. Incidence, cumulative risk, and risk factors. Dis Colon Rectum 1996, 39:1012-1018. In this prospective study, 57% of patients had at least one episode of pouchitis by 4 years after operation. The highest risk was during the initial 6-month period.
10. Keranen U, Luukkonen P, Jarvinen H: Functional results after restorative • proctocolectomy complicated by pouchitis. Dis Colon Rectum 1997, 40:764-769. Episodic pouchitis was easily treated by these authors and caused minimal functional consequences, whereas chronic pouchitis increased defecation frequency and needed prolonged medication.
11. Esteve M, Mallolas J, Klaassen J, Abad-Lacruz A, Gonzalez-Huix F, Cabre • E, Fernandez-Banares F, Bertran X, Condom E, Marti-Rague J, Gassull MA: Antineutrophil cytoplasmic antibodies in sera from colectomised ulcerative colitis patients and its relation to the presence of pouchitis. Gut 1996, 38:894-898. The authors point out that increased concentrations of pANCA in the sera do not predispose patients to pouchitis and should not be used as a reason to deny operation to patients.
12. Brett PM, Yasuda N, Yiannakou JY, Herbst F, Ellis HJ, Vaughan R. Nicholls RJ, Ciclitira PJ: Genetic and immunological markers in pouchitis. Eur J Gastroenterol Hepatol 1996, 8:951-955.
13. Freeman HJ, Roeck B, Devine DV, Carter CJ: Atypical perinuclear antineutrophil cytoplasmic antibodies after colectomy in inflammatory bowel disease. Can J Gastroenterol 1997, 11:305-310.
14. Campbell AP, Smithson J, Lewis C, Kettlewell MG, Mortensen N, Jewell DP, McGee JO: Altered expression of TGF alpha and TGF beta 1 in the mucosa of the functioning pelvic ileal pouch. J Path 1996, 180:407-414. Increased expression of TGF-beta 1 in the mucosa of pouches with pouchitis raised the question as to whether anti-TGF-beta 1 might be a potential therapy for pouchitis.
15. Boerr LA, Sambuelli AM, Filinger E, Peredo H, Graziano A, Valero J, • Kogan Z, Bai JC: Increased mucosal levels of leukotriene B4 in pouchitis: evidence for a persistent inflammatory state. Eur J Gastroenterol Hepatol 1996, 8:57-61. The persistence of an increased mucosal release of leukotriene B4 during clinical remission of pouchitis suggests the presence of an ongoing inflammatory process that might require treatment.
16. Scheppach W, Christl SU, Bartram HP, Richter F, Kasper H: Effects of short-chain fatty acids on the inflamed colonic mucosa. Scand J Gastroenterol S 1997, 222:53-57.
17. den Hoed PT, van Goch JJ, Veen HF. Ouwendijk RJ: Severe pouchitis successfully treated with short-chain fatty acids. Can J Surg 1996, 39:168-169.
18. Kroesen AJ, John M, Schonfelder G, Runkel N, Wiedenmann B, Buhr HJ: [Expression of inducible nitric oxide synthase (iNOS) in pouchitis after ileoanal pouch surgery for ulcerative colitis]. Langenbecks Archiv fur Chirurgie 1997, 114:451-454.
19. Rafii F, Ruseler-Van Embden JG, Asad YF: Azoreductase and nitroreductase activity of bacteria in feces from patients with an ileal reservoir. Dig Dis Sci 1997, 42:133-136.
20. Snook JA, Dwyer L, Lee-Elliott C, Knan S, Wheeler DW, Nicholas DS, Merrett MN, Mortensen N, Kettlewell Jewell DP: Smoking benefits celiac sprue and pouchitis: implications for nicotine therapy? Gastroenterology 1997, 112:1048-1050.
21. Gullberg K, Stahlberg D, Liljeqvist L, Tribukait B, Reinholt FP, Veress B, •• Lofberg R: Neoplastic transformation of the pelvic pouch mucosa in patients with ulcerative colitis. Gastroenterology 1997, 112:1437-1492. The presence of mucosal dysplasia in chronic ileal pouches raises concern about the malignant potential of these pouches.
22. Giarnieri E, Giovagnoli MR, Montesani C, Nagar C, Pronio AM, Alderisio M, Ribotta G, Vecchione A: Image analysis in multisample biopsy after ileal pouch-anal anastomosis. Anticancer Res 1996, 16:3207-3211.
23. Pronio A, Montesani C, Vecchione A, Giovagnoli MG, Giarnieri E, Nardi F, Nigri G, Ribotta G: Restorative proctocolectomy: histological assessment and cytometric DNA analysis of ileal pouch biopsies. Hepatogastroenterology 1997, 44:691-697.
24. Cox CL, Butts DR, Roberts MP, Wessels RA, Bailey HR: Development •• of invasive adenocarcinoma in a long-standing Kock continent ileostomy: report of a case. Dis Colon Rectum 1997, 40:500-503. This is a report of an adenocarcinoma developing in an ileal pouch used as a chronic reservoir for feces. This raises concern about the malignant potential of these pouches.
25. Nyam DC, Pemberton JH, Sandborn WJ, Savcenko M: Lymphoma of the pouch after ileal pouch-anal anastomosis: report of a case. Dis Colon Rectum 1997, 40:971-972.
26. Marchesa P, Lashner BA, Lavery IC, Milsom J, Hull TL, Strong SA, Church JM, Navarro G, Fazio VW: The risk of cancer and dysplasia among ulcerative colitis patients with primary sclerosing cholangitis. Am J Gastroenterol 1997, 92:1285-1288.