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The Dysfunctional Pouch

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Abstract

The morbidity associated with proctocolectomy and ileal pouch-anal anastomosis is significant. Pouch dysfunction occurs in 20–50% of patients as a result of septic, structural, biological (inflammatory and neoplastic) and functional complications. Pouch failure occurs in 10% of patients at 10 years and there are a wide range of investigations and treatment strategies available prior to loss of the pouch. The aim of this chapter is to discuss the aetiology of pouch dysfunction and present a structured approach to its management.

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Authors and Affiliations

  1. The John Goligher Department of Colorectal Surgery, St. James University Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK

    Laura Hancock BSc, MD, FRCS & Peter Sagar BSc, MD, FRCS

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  1. Laura Hancock BSc, MD, FRCS
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  2. Peter Sagar BSc, MD, FRCS
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Correspondence to Peter Sagar BSc, MD, FRCS .

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Editors and Affiliations

  1. Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    John Beynon

  2. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Dean Anthony Harris

  3. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Mark Davies

  4. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Martyn Evans

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Hancock, L., Sagar, P. (2017). The Dysfunctional Pouch. In: Beynon, J., Harris, D., Davies, M., Evans, M. (eds) Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-55957-5_5

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