| Diagnosis and management of Crohn's disease of the ileal pouch. | |
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MedLine Citation:
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PMID: 22643595 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Approximately 20-30% of patients with ulcerative colitis would eventually require surgery despite recent advances in medical therapy. Ileal pouch-anal anastomosis has become the surgical treatment of choice after total proctocolectomy. A subset of patients who had a preoperative diagnosis of ulcerative colitis may develop Crohn's disease or a Crohn's disease-like condition of the ileal pouch after surgery. Diagnosis, differential diagnosis, and management of Crohn's disease of the ileal pouch have been challenging. A combined approach with the assessment of clinical history, endoscopy, histology, abdominal/pelvic imaging, and examination under anesthesia is necessary for an accurate diagnosis, disease classification, management and improvement in outcome. A multidisciplinary approach with gastroenterologists, colorectal surgeons, gastrointestinal pathologists and radiologists for proper medical, endoscopic, and surgical treatment is advocated. |
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Authors:
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Y Li; H Zhu; B Shen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Minerva gastroenterologica e dietologica Volume: 58 ISSN: 1121-421X ISO Abbreviation: Minerva Gastroenterol Dietol Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-05-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9109791 Medline TA: Minerva Gastroenterol Dietol Country: Italy |
Other Details:
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Languages: eng Pagination: 123-35 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Peking Union Medical College HospitalBeijing, China - shenb@ccf.org. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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