Affiliation:
1. State Scientific Centre of Coloproctology
Abstract
Pouchitis is a most frequent complication in patients with ileal pouch, it occurs at least 50% of them once in a lifetime. However, pouchitis can be treated fast and effectively. Twenty per cent of patients with chronic pouchitis have unfavourable prognosis because of antibiotic resistance and antibiotic dependence. It is hard to choose an effective treatment in this group of patients, which should include induction and maintenance therapy. Ineffective conservative treatment indicates a necessity of detection of secondary causes of pouchitis. Currently, there is not enough experience and less understanding of the causes of pochitis to decrease its incidence. Further studies are needed.
Publisher
Russian Association of Coloproctology
Reference66 articles.
1. Kashnikov, V.N. Oslozhneniya tonkokishechnykh rezervuarov i ikh vliyanie na funktsional'nye rezul'taty i kachestvo zhizni bol'nykh, operirovannykh po povodu yazvennogo kolita (obzor literatury). / V.N.Kashnikov, S.I.Achkasov, O.I.Sushkov i soavt. // Koloproktologiya. - 2015. - №3 (53). -s. 84-91.
2. Safin, A.L. Faktory riska razvitiya diarei, assotsiirovannoi s Clostridium difficile, u koloproktologicheskikh bol'nykh (obzor literatury). / A.L.Safin, S.I.Achkasov, M.A.Sukhina i soavt. // Koloproktologiya. - 2017. - №1 (59). - s. 59-67.
3. Shelygin, Yu.A. Edinyi laparoskopicheskii dostup pri mnogoetapnom khirurgicheskom lechenii patsienta s yazvennym kolitom. / Yu.A.Shelygin, S.I.Achkasov, B.N.Kashnikov i soavt.// Koloproktologiya. - 2013. -№3 (45) c. 30-34.
4. Abdelrazeq, A.S. Rifaximin-ciprofloxacin combination therapy is effective in chronic active refractory pouchitis. / A.S.Abdelrazeq et al. // Colorectal disease: the official journal of the Association of Coloproctology of Great Britain and Ireland. - 2005. - №2 (7). - r. 182-6.
5. Andersson, P. Surgery in ulcerative colitis: indication and timing. / P.Andersson, J.D.Söderholm // Digestive diseases (Basel, Switzerland). - 2009. - №3 (27). -r. 335-40.