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Korean J Gastroenterol. 2003 Jul;42(1):72-76. Korean. Case Report.
Chang JY , Kim HJ , Kim WJ , Jung YH , Lee BW , Han YS , Dong SH , Kim BH , Chang YW , Lee JI , Chang R .
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.

Pouchitis, a non-specific acute inflammation occurring in the ileal pouch, is one of the most common complications developed after the restorative proctocolectomy and ileal pouch-anal anastomosis (IPAA) performed for the treatment for the patients with ulcerative colitis and familial adenomatous polyposis. The prevalence of pouchitis is known to range from 20% to 50%. One to two percent of the cases are chronic and resistant to the drug therapy. The effective treatment for this chronic resistant pouchitis is to remove the ileal pouch and perform the permanent ileostomy. Hereby, we report one case of chronic pouchitis resistant to multiple drug therapy developed after IPAA performed for the treatment of ulcerative colitis in a patient.

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