Academic Journal
DIAGNOSTIC AND MANAGEMENT APPROACH TO POUCHITIS IN INFLAMMATORY BOWEL DISEASE
| العنوان: | DIAGNOSTIC AND MANAGEMENT APPROACH TO POUCHITIS IN INFLAMMATORY BOWEL DISEASE |
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| المؤلفون: | Rocío SEDANO, Paulina NUÑEZ, Rodrigo QUERA |
| المصدر: | Arquivos de Gastroenterologia, Vol 57, Iss 1, Pp 100-106 (2020) |
| بيانات النشر: | Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) |
| سنة النشر: | 2020 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Pouchitis, therapy, Restorative proctocolectomy, Ulcerative colitis, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | In patients with ulcerative colitis refractory to medical therapy, total proctocolectomy and posterior ileal-anal pouch anastomosis is the standard surgical therapy. One of the possible complications is pouchitis. Depending on the duration of the symptoms, it can be classified as acute, recurrent, or chronic. The latter, according to the response to therapy, can be defined as antibiotic-dependent or refractory. The treatment of pouchitis is based on the use of antibiotics and probiotics. Thiopurine and biological therapy have been suggested in patients with refractory pouchitis. Special care should be taken in the endoscopic surveillance of these patients, especially if they present risk factors such as dysplasia or previous colorectal cancer, primary sclerosing cholangitis or ulcerative colitis for more than 10 years. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1678-4219 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032020000100100&tlng=en; http://www.scielo.br/pdf/ag/v57n1/1678-4219-ag-s0004280320200000017.pdf; https://doaj.org/toc/1678-4219; https://doaj.org/article/07dcaae618184151a16d08a39ff37684 |
| DOI: | 10.1590/s0004-2803.202000000-17 |
| الاتاحة: | https://doi.org/10.1590/s0004-2803.202000000-17 https://doaj.org/article/07dcaae618184151a16d08a39ff37684 |
| رقم الانضمام: | edsbas.928D48A |
| قاعدة البيانات: | BASE |
| تدمد: | 16784219 |
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| DOI: | 10.1590/s0004-2803.202000000-17 |