Pouchitis can be an insidious condition with minimal overt symptoms, and patients may suffer a steady deterioration in pouch function without complaint unless they are warned of this condition. Quinn KP, et al. Crohn's disease of the ileoanal pouch. Patient data are prospectively entered into a database. As we all know, an anastomotic leak can be a horrible complication, especially in this group of patients, many of whom are on steroids. Mayo Foundation for Medical Education and Research;
Division of Colorectal Surgery
Unfortunately, we are unable to identify factors that predispose patients to anastomotic leak. One of the major weaknesses is that this is a study that had no control group. The remaining 23 patients with ulcerative colitis were not taking corticosteroids at the time of operation. Yearly monitoring with flexible endoscopy needs to done. Shackelford's Surgery of the Alimentary Tract. The biggest problem is not being certain how to select patients to either have or to not have a diverting ileostomy. The surgery doesn't affect a woman's ability to have a normal pregnancy and delivery, but may affect fertility.