Diagnostic Value of Esophagogastroduodenoscopy in Patients with Ileal Pouch–Anal Anastomosis

Shen, Bo; Wu, Hao; Remzi, Feza H.; López, Rocío; Shen, Ling; Fazio, Victor W.

doi:10.1002/ibd.20771

Cited by 19 publications

(11 citation statements)

References 32 publications

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“…Hori et al reported the prevalence (19/250: 7.6%) and significant risk factors (pancolitis and a lower dose of predonisolone) of gastroduodenitis-associated UC by performing prospective esophagogastroduodenoscopy for 250 Japanese patients with UC [8]. Since the endoscopic features mimicking those of colon are sometimes helpful for making diagnosis of gastroduodenitis related to UC, EGD is available for examining whether gastroduodenitis would occur in patients with UC after colectomy [9,16]. It was reported that duodenitis associated with UC occurred after colectomy tends to be accompanied by pouchitis as in our present case [9].…”

Section: Discussionmentioning

confidence: 97%

Modulation of Th1/Th2 Balance by Infliximab Rescues Postoperative Occurrence of Small-Intestinal Inflammation Associated with Ulcerative Colitis

et al. 2009

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Section: Discussionmentioning

confidence: 97%

Modulation of Th1/Th2 Balance by Infliximab Rescues Postoperative Occurrence of Small-Intestinal Inflammation Associated with Ulcerative Colitis

et al. 2009

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“…Occasionally, CD may involve other parts of the GI tract. Performance of esophagogastroduodenoscopy with duodenal biopsy [37] and, sometimes, video capsule endoscopy [38] may yield additional information for the accurate diagnosis.…”

Section: Diagnosismentioning

confidence: 99%

Crohn’s disease of the pouch: diagnosis and management

Wu¹,

Shen²

2009

Expert Review of Gastroenterology & Hepatology

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Approximately 30% of patients with ulcerative colitis will eventually require surgery. Ileal pouch-anal anastomosis has become the surgical treatment of choice in ulcerative colitis patients with refractory disease or dysplasia who require proctocolectomy. A subset of patients with ileal pouches may develop Crohn's disease or a Crohn's disease-like condition of the pouch after the surgery. Diagnosis and management can be challenging. A combined assessment of endoscopy, histology, radiographic imaging and examination under anesthesia is often necessary for an accurate diagnosis, disease classification, management and prognosis. A multidisciplinary approach by a medical and surgical team, together with experienced pathologists and radiologists, is advocated.

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“…One study has shown the presence of diffuse duodenitis in some patients with UC [34]. Patients with UC and IPAA have been shown to have evidence of inflammation in the duodenum on endoscopy, as well as histologically [35, 36]. These changes in the proximal small intestine—the site of vitamin D and calcium absorption—can lead to malabsorption and hence vitamin D deficiency.…”

Section: Bone Loss In Patients With Ileal Pouchesmentioning

confidence: 99%

Bone loss in patients with the ileostomy and ileal pouch for inflammatory bowel disease

Gupta

Shen

2013

Gastroenterology Report

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Low bone mineral density (BMD) or low bone mass is common in patients with inflammatory bowel disease (IBD). Studies have shown that low BMD is also common in patients with ulcerative colitis (UC) even after colectomy and ileal pouch–anal anastomosis (IPAA). The reported frequency of osteopenia ranged from 26–55% and that of osteoporosis ranged from 13–32% in patients with IPAA. Increasing age, low body mass index, lack of calcium supplementation and high inflammatory activity with villous atrophy in the ileo-anal pouch are risk factors for low bone mass in pouch patients. Bone loss is also common in patients with IBD and ostomy. Current professional society guidelines do not specifically address the need for surveillance in patients with ileal pouches or ostomy. A growing body of evidence suggests that patients with ileal pouch or ostomy are at an increased risk of bone loss. Pending prospective studies, screening and surveillance using dual energy X-ray absorptiometry (DEXA) along with calcium/vitamin D supplementation may be beneficial in those patients.

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Diagnostic Value of Esophagogastroduodenoscopy in Patients with Ileal Pouch–Anal Anastomosis

Abstract: EGD evaluation can yield valuable diagnostic information in selected symptomatic patients with IPAA.

Cited by 19 publications

References 32 publications

Modulation of Th1/Th2 Balance by Infliximab Rescues Postoperative Occurrence of Small-Intestinal Inflammation Associated with Ulcerative Colitis

Modulation of Th1/Th2 Balance by Infliximab Rescues Postoperative Occurrence of Small-Intestinal Inflammation Associated with Ulcerative Colitis

Crohn’s disease of the pouch: diagnosis and management

Bone loss in patients with the ileostomy and ileal pouch for inflammatory bowel disease

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