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Pouchitis: What Every Gastroenterologist Needs to Know
Bo Shen Clinical Gastroenterology and Hepatology Volume 11, Issue 12, Pages (December 2013) DOI: /j.cgh Copyright © 2013 AGA Institute Terms and Conditions
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Figure 1 Configurations and anatomy of various ileal pouches.
Clinical Gastroenterology and Hepatology , DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 2 Normal pouch and pouchitis of various etiologies on endoscopy. (A) Normal pouch with an owls' eye configuration, reflecting a widely opened pouch inlet and the tip of a J. (B) Chronic pouchitis with ulcers and a stiff pouch. (C) Pouchitis with an ischemic pattern, with inflammation at the afferent limb side, and normal mucosa at the efferent limb side of the J pouch, with sharp demarcation of inflammation and noninflamed parts along the suture line. (D) A large pouch inflammatory polyp resulting from chronic mucosal inflammation. Clinical Gastroenterology and Hepatology , DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 3 Pouchitis of various etiologies on endoscopy. (A) Chronic pouchitis with concurrent distal pouch sinus (arrow). (B and C) Diffuse pouchitis and enteritis with a similar mucosa pattern in a patient with PSC. (D) Chronic pouchitis with C difficile infection. Clinical Gastroenterology and Hepatology , DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 4 Diagnostic algorithm for recurrent pouchitis. ANA, antinuclear antibody; LFT, liver function test. Clinical Gastroenterology and Hepatology , DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 5 Treatment algorithm for pouchitis.
Clinical Gastroenterology and Hepatology , DOI: ( /j.cgh ) Copyright © 2013 AGA Institute Terms and Conditions
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