One case of pouch ileitis after restorative proctocolectomy for ulcerative colitis is described. Diagnosis was made by endoscopy, histology and electron microscopy. The most prominent feature was intense inflammation of the mucosa and submucosa, with atrophy of the villi, and colonic metaplasia, occurring before closure of the loop ileostomy. The patient improved after a course of metronidazole therapy, but ileostomy closure was postnoted. It appears that the ileum mucosa of patients with ulcerative colitis is highly prone to the development of inflammation and careful, regular follow-up is recommended.
Pouchileitis in excluded reservoir : an unusual complication of restorative proctocolectomy for ulcerative-colitis / E. Trabucchi, S. Bressani Doldi, D. Foschi, C. Mariscotti, W. Montorsi. - In: INTERNATIONAL SURGERY. - ISSN 0020-8868. - 73:3(1988), pp. 187-189.
Pouchileitis in excluded reservoir : an unusual complication of restorative proctocolectomy for ulcerative-colitis
E. TrabucchiPrimo
;S. Bressani Doldi;D. Foschi;
1988
Abstract
One case of pouch ileitis after restorative proctocolectomy for ulcerative colitis is described. Diagnosis was made by endoscopy, histology and electron microscopy. The most prominent feature was intense inflammation of the mucosa and submucosa, with atrophy of the villi, and colonic metaplasia, occurring before closure of the loop ileostomy. The patient improved after a course of metronidazole therapy, but ileostomy closure was postnoted. It appears that the ileum mucosa of patients with ulcerative colitis is highly prone to the development of inflammation and careful, regular follow-up is recommended.
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