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DIAGNOSTIC AND MANAGEMENT APPROACH TO POUCHITIS IN INFLAMMATORY BOWEL DISEASE

Sedano, Rocío ; Nuñez, Paulina ; Quera, Rodrigo

Arquivos de gastroenterologia, 2020-02, Vol.57 (1), p.100-106 [Periódico revisado por pares]

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Título:
DIAGNOSTIC AND MANAGEMENT APPROACH TO POUCHITIS IN INFLAMMATORY BOWEL DISEASE
Autor: Sedano, Rocío ; Nuñez, Paulina ; Quera, Rodrigo
Assuntos: GASTROENTEROLOGY & HEPATOLOGY ; Pouchitis, therapy ; Restorative proctocolectomy ; Ulcerative colitis
É parte de: Arquivos de gastroenterologia, 2020-02, Vol.57 (1), p.100-106
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: In patients with ulcerative colitis refractory to medical therapy, total proctocolectomy and posterior ileal-anal pouch anastomosis is the standard surgical therapy. One of the possible complications is pouchitis. Depending on the duration of the symptoms, it can be classified as acute, recurrent, or chronic. The latter, according to the response to therapy, can be defined as antibiotic-dependent or refractory. The treatment of pouchitis is based on the use of antibiotics and probiotics. Thiopurine and biological therapy have been suggested in patients with refractory pouchitis. Special care should be taken in the endoscopic surveillance of these patients, especially if they present risk factors such as dysplasia or previous colorectal cancer, primary sclerosing cholangitis or ulcerative colitis for more than 10 years.
Editor: Brazil: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE
Idioma: Inglês;Português

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