Abstract
Traditionally, the ileal pouch anal anastomosis (IPAA) operation has not been offered to patients with Crohn’s disease (CD). Patients with Crohn’s colitis are often excluded from undergoing IPAA related to a number of key concerns: the risk of developing recurrent disease in the pouch necessitating pouch excision with possible ensuing short bowel syndrome, coupled with the risks of significant pouch dysfunction and the need for long-term medical therapy. However, surgical dogma is being challenged in more recent times with authors now reporting encouraging outcomes following IPAA in patients with either a preoperative or postoperative diagnosis of Crohn’s colitis.
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Peirce, C., Remzi, F.H. (2017). Crohn’s Colitis and Ileal Pouch Anal Anastomosis. In: Hyman, N., Umanskiy, K. (eds) Difficult Decisions in Colorectal Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-40223-9_8
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DOI: https://doi.org/10.1007/978-3-319-40223-9_8
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