Abstract
Few surgeons and no self-respecting gastroen-terologist would advise an ileal pouch for patients known to have Crohn’s disease (1). This dogma was first challenged in reservoir ileostomy on the grounds that the quality of life was so much better in patients with a Kock pouch compared with conventional ileostomy and that individuals should be given the right to choose, particularly if the risks of recurrent Crohn’s disease or Crohn’s complications are likely to be low (2). Thus it was suggested that reservoir ileostomy might be considered in patients who had no evidence of ileal Crohn’s disease despite histological evidence of Crohn’s colitis and who had had no complications for ten years with a conventional ileostomy (3). Despite this, the literature is full of disasters amoungst patients having a Kock pouch who eventually turned out to have Crohn’s disease. In these patients there was a high incidence of abdominal sepsis, fistulas, obstruction, and metabolic sequelae (4,5,6).
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Keighley, M.R.B., Korsgen, S., Tan, H.T. (1999). Ileoanal Pouches. In: Michelassi, F., Milsom, J.W. (eds) Operative Strategies in Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1396-3_33
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DOI: https://doi.org/10.1007/978-1-4612-1396-3_33
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