Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3319600 | Seminars in Colon and Rectal Surgery | 2007 | 10 Pages |
Abstract
The ileal-pouch anal anastomosis is a means of preserving fecal continence in those patients undergoing total colectomy, primarily for treatment of ulcerative colitis and familial adenomatous polyposis. There are a variety of complications associated with the procedure, ranging from acute leaks to nonspecific pouchitis, and small bowel obstructions. Radiographic evaluation, primarily using conventional barium enemas and contrast-enhanced computed tomography, is crucial in guiding clinical management of these patients. Recent technical advancements in magnetic resonance imaging render this modality a potentially viable imaging alternative, while avoiding ionizing radiation. This article reviews the normal postoperative appearance and depicts a variety of radiographic complications associated with pouch creation.
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Authors
Christopher D. MD, Francis J. MD, FACR,