Recycling of Precolectomy Anti-Tumor Necrosis Factor Agents in Chronic Pouch Inflammation Is Associated With Treatment Failure.

ABSTRACT: Despite improvements in medical management, 10%-15% of patients with ulcerative colitis (UC) require total proctocolectomy (TPC) with ileal pouch anal anastomosis (IPAA) for refractory disease.¹ Acute pouchitis is the most common post-IPAA inflammatory condition, with cumulative incidence of 45% at 5 years.² Up to 20%-30% of patients develop chronic pouch inflammation (CPI), categorized as antibiotic responsive, antibiotic refractory, or Crohn's disease-like (CDL).³.

SUBMITTER: Kayal M 

PROVIDER: S-EPMC8609533 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature