Systematic review: the management of pouchitis

被引：88

作者：

Pardi, DS ^{[1
]}

Sandborn, WJ ^{[1
]}

机构：

[1] Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Rochester, MN USA

来源：

ALIMENTARY PHARMACOLOGY & THERAPEUTICS | 2006年 / 23卷 / 08期

关键词：

D O I：

10.1111/j.1365-2036.2006.02884.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Pouchitis is the most common complication following proctocolectomy and ileal pouch-anal anastomosis in patients with ulcerative colitis. We aim at discussing relevant information on epidemiology, clinical features, risk factors, diagnostic testing, differential diagnosis and treatment of this idiopathic inflammatory condition. A computerized search of PubMed was performed with the search term 'pouchitis', limited to English papers on humans. This strategy identified 514 references. Relevant articles were selected from this list. In addition, the reference list for each of the selected articles was reviewed to identify any additional references. Pouchitis occurs in up to 60% of patients after ileal pouch-anal anastomosis for ulcerative colitis, and has characteristic clinical, endoscopic and histological features. The most important test for diagnosis is pouch endoscopy with biopsy. Antibiotics remain the mainstay of treatment, and other options are discussed for those patients who are refractory to antibiotic therapy.

引用

页码：1087 / 1096

页数：10

共 64 条

[1] Differentiating risk factors for acute and chronic pouchitis [J].

Achkar, JP ;

Al-Haddad, M ;

Lashner, B ;

Remzi, FH ;

Brzezinski, A ;

Shen, B ;

Khandwala, F ;

Fazio, V .

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2005, 3 (01) :60-66

[2] Are pANCA, ASCA, or cytokine gene polymorphisms associated with pouchitis? Long-term follow-up in 102 ulcerative colitis patients [J].

Aisenberg, J ;

Legnani, PE ;

Nilubol, N ;

Cobrin, GM ;

Ellozy, SH ;

Hegazi, RAF ;

Yager, J ;

Bodian, C ;

Gorfine, SR ;

Bauer, JJ ;

Plevy, S ;

Sachar, DB .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2004, 99 (03) :432-441

[3] The interleukin 1 receptor antagonist gene allele 2 as a predictor of pouchitis following colectomy and IPAA in ulcerative colitis [J].

Carter, MJ ;

Di Giovine, FS ;

Cox, A ;

Goodfellow, P ;

Jones, S ;

Shorthouse, AJ ;

Duff, GW ;

Lobo, AJ .

GASTROENTEROLOGY, 2001, 121 (04) :805-811

[4] Budesonicle in the treatment of inflammatory bowel disease: The first year of experience in clinical practice [J].

Chopra, A ;

Pardi, DS ;

Loftus, EV ;

Tremaine, WJ ;

Egan, LJ ;

Faubion, WA ;

Hanson, KA ;

Johnson, TA ;

Sandborn, WJ .

INFLAMMATORY BOWEL DISEASES, 2006, 12 (01) :29-32

[5] ENDOSCOPIC ASSESSMENT OF ACUTE-INFLAMMATION OF THE ILEAL RESERVOIR AFTER RESTORATIVE ILEOANAL ANASTOMOSIS [J].

DIFEBO, G ;

MIGLIOLI, M ;

LAURI, A ;

BIASCO, G ;

PAGANELLI, GM ;

POGGIOLI, G ;

GOZZETTI, G ;

BARBARA, L .

GASTROINTESTINAL ENDOSCOPY, 1990, 36 (01) :6-9

[6] Sulfate-reducing bacteria colonize pouches formed for ulcerative colitis but not for familial adenomatous polyposis [J].

Duffy, M ;

O'Mahony, L ;

Coffey, JC ;

Collins, JK ;

Shanahan, F ;

Redmond, HP ;

Kirwan, WO .

DISEASES OF THE COLON & RECTUM, 2002, 45 (03) :384-388

[7] ILEAL POUCH-ANAL ANASTOMOSES COMPLICATIONS AND FUNCTION IN 1005 PATIENTS [J].

FAZIO, VW ;

ZIV, Y ;

CHURCH, JM ;

OAKLEY, JR ;

LAVERY, IC ;

MILSOM, JW ;

SCHROEDER, TK .

ANNALS OF SURGERY, 1995, 222 (02) :120-127

[8] Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: A double-blind, placebo-controlled trial [J].

Gionchetti, P ;

Rizzello, F ;

Venturi, A ;

Brigidi, P ;

Matteuzzi, D ;

Bazzocchi, G ;

Poggioli, G ;

Miglioli, M ;

Campieri, M .

GASTROENTEROLOGY, 2000, 119 (02) :305-309

[9] Antibiotic combination therapy in patients with chronic, treatment-resistant pouchitis [J].

Gionchetti, P ;

Rizzello, F ;

Venturi, A ;

Ugolini, F ;

Rossi, M ;

Brigidi, P ;

Johansson, R ;

Ferrieri, A ;

Poggioli, G ;

Campieri, M .

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 1999, 13 (06) :713-718

[10]

Gionchetti P, 2004, GASTROENTEROLOGY, V126, pA123

← 1 2 3 4 5 6 7 →