Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis
An important goal for the surgeon after performing proctocolectomy for ulcerative colitis is the preservation of continence, with the formation of a pelvic ileal pouch. In most patients who have required this procedure, clinical results have been satisfactory. In recent years, it has become appr...
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| Format: | Article |
| Language: | English |
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Wiley
2001-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2001/713823 |
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| _version_ | 1849412617838264320 |
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| author | Hugh J Freeman |
| author_facet | Hugh J Freeman |
| author_sort | Hugh J Freeman |
| collection | DOAJ |
| description | An important goal for the surgeon after performing proctocolectomy for ulcerative colitis is the preservation of continence, with the formation of a pelvic ileal pouch. In most patients who have required this procedure, clinical results have been satisfactory. In recent years, it has become appreciated that many patients with a satisfactory surgical result are still at risk for pouchitis and pouch neoplasia. This is not surprising because creation of a pouch leads to an environment characterized by stasis, with associated mucosal adaptive changes. In some patients, the ileal mucosa in the pouch may assume the appearance of colonic mucosa. |
| format | Article |
| id | doaj-art-5f0fa0fbe60643088d42d20c6d3d9010 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 2001-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-5f0fa0fbe60643088d42d20c6d3d90102025-08-20T03:34:22ZengWileyCanadian Journal of Gastroenterology0835-79002001-01-01151177477510.1155/2001/713823Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative ColitisHugh J Freeman0Department of Medicine (Gastroenterology), University of British Columbia Hospital, Vancouver, British Columbia, CanadaAn important goal for the surgeon after performing proctocolectomy for ulcerative colitis is the preservation of continence, with the formation of a pelvic ileal pouch. In most patients who have required this procedure, clinical results have been satisfactory. In recent years, it has become appreciated that many patients with a satisfactory surgical result are still at risk for pouchitis and pouch neoplasia. This is not surprising because creation of a pouch leads to an environment characterized by stasis, with associated mucosal adaptive changes. In some patients, the ileal mucosa in the pouch may assume the appearance of colonic mucosa.http://dx.doi.org/10.1155/2001/713823 |
| spellingShingle | Hugh J Freeman Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis Canadian Journal of Gastroenterology |
| title | Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis |
| title_full | Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis |
| title_fullStr | Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis |
| title_full_unstemmed | Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis |
| title_short | Dysplasia Risk in Ileal Pouches after Reconstructive Surgery for Ulcerative Colitis |
| title_sort | dysplasia risk in ileal pouches after reconstructive surgery for ulcerative colitis |
| url | http://dx.doi.org/10.1155/2001/713823 |
| work_keys_str_mv | AT hughjfreeman dysplasiariskinilealpouchesafterreconstructivesurgeryforulcerativecolitis |