Judging the J pouch: a pictorial review

Shannon P. Sheedy, David J. Bartlett, Amy Lightner, Steven W. Trenkner, David H Bruining, Jeff L. Fidler, Wendaline M. VanBuren, Christine O. Menias, Joshua D. Reber, Joel Garland Fletcher

Research output: Contribution to journalArticle

Abstract

Restorative total proctocolectomy with ileal pouch-anal anastomosis is the surgery of choice for patients with medically refractory ulcerative colitis, ulcerative colitis with high-grade dysplasia or multi-focal low-grade dysplasia, and for patients with familial adenomatous polyposis. The natural history of the surgery is favorable, and patients generally experience improved quality of life and acceptable long-term functional outcome. However, some patients experience significant long-term morbidity from early and/or late pouch-related complications. When complications arise, radiologists must understand the advantages and disadvantages of the various imaging modalities that can be used to assess the pouch. Radiologist familiarity with the surgical technique, pouch anatomy, and imaging appearance of the various potential early and late complications will help facilitate appropriate clinical and surgical decision-making. This review provides an anatomic-based imaging review of the pouch and pouch-related complications, including numerous illustrative fluoroscopic and cross-sectional imaging examples.

Original languageEnglish (US)
JournalAbdominal Radiology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Colonic Pouches
Ulcerative Colitis
Restorative Proctocolectomy
Adenomatous Polyposis Coli
Natural History
Anatomy
Quality of Life
Morbidity
Radiologists

Keywords

  • Enterography
  • Ileal pouch-anal anastomosis
  • Ileoanal anastomosis
  • J pouch
  • Proctocolectomy
  • Ulcerative colitis

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

Cite this

Sheedy, S. P., Bartlett, D. J., Lightner, A., Trenkner, S. W., Bruining, D. H., Fidler, J. L., ... Fletcher, J. G. (Accepted/In press). Judging the J pouch: a pictorial review. Abdominal Radiology. https://doi.org/10.1007/s00261-018-1786-7

Judging the J pouch : a pictorial review. / Sheedy, Shannon P.; Bartlett, David J.; Lightner, Amy; Trenkner, Steven W.; Bruining, David H; Fidler, Jeff L.; VanBuren, Wendaline M.; Menias, Christine O.; Reber, Joshua D.; Fletcher, Joel Garland.

In: Abdominal Radiology, 01.01.2018.

Research output: Contribution to journalArticle

Sheedy, SP, Bartlett, DJ, Lightner, A, Trenkner, SW, Bruining, DH, Fidler, JL, VanBuren, WM, Menias, CO, Reber, JD & Fletcher, JG 2018, 'Judging the J pouch: a pictorial review', Abdominal Radiology. https://doi.org/10.1007/s00261-018-1786-7
Sheedy SP, Bartlett DJ, Lightner A, Trenkner SW, Bruining DH, Fidler JL et al. Judging the J pouch: a pictorial review. Abdominal Radiology. 2018 Jan 1. https://doi.org/10.1007/s00261-018-1786-7
Sheedy, Shannon P. ; Bartlett, David J. ; Lightner, Amy ; Trenkner, Steven W. ; Bruining, David H ; Fidler, Jeff L. ; VanBuren, Wendaline M. ; Menias, Christine O. ; Reber, Joshua D. ; Fletcher, Joel Garland. / Judging the J pouch : a pictorial review. In: Abdominal Radiology. 2018.
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