Pouchitis is an inflammation of the lining of a pouch that is surgically created in the treatment of ulcerative colitis and certain other diseases. Many people with serious ulcerative colitis end up having their diseased colon removed and the bowel reconnected with this procedure, called ileoanal anastomosis (IPAA) or J-pouch surgery.
Surgeons use the end of the small intestine (ileum) to create a pouch shaped like the letter J. The pouch is attached internally to the area just above the anus to hold waste before it's eliminated.
Pouchitis is a complication of IPAA that occurs in 23 to 46 percent of people who have the procedure. Symptoms can include diarrhea, abdominal pain and joint pain, cramps, fever, increased number of bowel movements, nighttime fecal seepage, fecal incontinence, and a strong feeling of the need to have a bowel movement.
June 11, 2015
- Chowdhry S, et al. Update on the pathogenesis and management of pouchitis. Current Infectious Disease Reports. 2014;16:442.
- Feldman, M, et al. Ileostomy, colostomy, and pouches. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. https://www.clinicalkey.com. Accessed April 9, 2015.
- Batista D, et al. Role of intestinal bacteria in the pathogenesis of pouchitis. Inflammatory Bowel Diseases. 2014;20:1481.
- Shen B. Pouchitis: Epidemiology, clinical manifestations, and diagnosis. http://www.uptodate.com/home. Accessed April 9, 2015.
- Shen B. Pouchitis: Management. http://www.uptodate.com/home. Accessed April 9, 2015.
- Corticosteroids. Crohn's & Colitis Foundation of America. http://www.ccfa.org/resources/corticosteroids.html. Accessed April 13, 2015.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. April 9, 2015.