Crohn's Disease of the Ileoanal Pouch: A High Rate of Potential Overdiagnoses.

ABSTRACT:

Background

Approximately 1 in 10 patients with an ileal pouch-anal anastomosis is diagnosed with Crohn's disease of the pouch (CDP). However, this diagnosis may be established inappropriately, as alternative underlying causes necessitating an alternative treatment approach, such as long-term surgical sequelae, may mimic CDP. In this study, we aimed to identify patients diagnosed with and treated for CDP with a (concurrent) alternative diagnosis.

Methods

Ulcerative colitis and inflammatory bowel disease unclassified patients who underwent ileal pouch-anal anastomosis surgery in a tertiary center between 1990 and 2017 were retrospectively reviewed. Patients with a postoperative diagnosis of CDP for which medical treatment was initiated were identified. Presence of pouchitis, p

SUBMITTER: Reijntjes M 

PROVIDER: S-EPMC11447062 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature