The ABC's of Re-do Ileoanal Pouches, What Every Gastroenterologist Should Know

Christopher Mascarenhas; Scott R. Steele; Tracy Hull

Disclosures

Curr Opin Gastroenterol. 2019;35(4):321-329. 

In This Article

Investigations

As stated above, problems that manifest within 6 months of stool via the anus should raise suspicions of a surgical technical problem. A full evaluation of the pouch and anal region can be achieved by an examination under anesthesia. If a leak is suspected, a preoperative MRI and/or pelvic CT (with rectal contrast) may provide a road map to the exact nature of the problem. Table 3 has a list of tests we perform and the reasoning behind them.

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