Ileo-anal Pouch - Reasons For Pouch Construction

Reasons For Pouch Construction

Ileo-anal pouches are constructed for people who have had their large intestine surgically removed due to disease or injury. Diseases and conditions of the large intestine which may require surgical removal include:

  • Ulcerative colitis
  • Crohn's disease
  • Familial adenomatous polyposis
  • Colon cancer
  • Toxic megacolon

There is debate about whether patients suffering from Crohn's disease are suitable candidates for an ileo-anal pouch due to the risk of the disease occurring in the pouch, which could make matters even worse. An alternative to an ileo-anal pouch is an ileostomy.

In some cases where the pouch was formed to manage colitis, inflammation can return to the pouch in a similar way to the original inflammation in the colon. This is known as pouchitis.

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