What are the risk factors for pouch failure following IPAA to treat ulcerative colitis (UC)?

Updated: Apr 01, 2019
  • Author: E Stanton Adkins, III, MD; Chief Editor: Harsh Grewal, MD, FACS, FAAP  more...
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Answer

Answer

Pouch failure may also occur after IPAA. Reported risk factors include the following [21] :

  • Female sex
  • Absence of primary fecal diversion
  • Low hospital volume

Surveillance for pouch cancer after IPAA has been controversial. The long-term risk of pouch cancer in UC patients who have undergone IPAA appears to be low. [22]


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