Colon nontumor
Colitis (non-infectious)
Pouch related complications

Topic Completed: 1 May 2013

Revised: 8 January 2019, last major update May 2013

Copyright: (c) 2003-2016,, Inc.

PubMed Search: pouch related complications [title]

Related topics: Pouchitis

Hanni Gulwani, M.B.B.S.
Page views in 2019: 422
Page views in 2020 to date: 166
Cite this page: Gulwani H. Pouch related complications. website. Accessed May 31st, 2020.
Definition / general
  • Ileal pouches are formed from loops of terminal ileum, may be anastomosed to rectum to preserve anal sphincter function and restore continuity of bowel
  • Contraindicated in Crohn disease due to high risk of fistula and abscess
  • Complications: fistula, obstruction, incontinence, anastomotic leaks; 2-7% of cases are due to initially undiagnosed Crohn disease
Microscopic (histologic) description
  • Normal pouch: resembles terminal ileum, occasional superficial neutrophils, mild villous shortening, increased chronic inflammation
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