Abordagem diagnóstica e de manuseio da pouchite em doença inflamatória intestinal

Rocío Sedano, Paulina Nuñez*, Rodrigo Quera

*Autor correspondiente de este trabajo

Resultado de la investigación: Contribución a una revistaArtículo de revisiónrevisión exhaustiva

2 Citas (Scopus)

Resumen

– 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.

Título traducido de la contribuciónDiagnostic and management approach to pouchitis in inflammatory bowel disease
Idioma originalPortugués
Páginas (desde-hasta)100-106
Número de páginas7
PublicaciónArquivos de Gastroenterologia
Volumen57
N.º1
DOI
EstadoPublicada - 2020
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2020, IBEPEGE - Inst. Bras. Estudos Pesquisas Gastroent.. All rights reserved.

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