Mechanical Pouch Failure and Re-Do IPAA - Management Algorithm Patient w/ Mechanical Pouch Failure: Anastomotic Stricture, Leak, Sinus, Pouch Fistula, Tip of the "J" Leak, Floppy Pouch Complex, Recurrent Pelvic Sepsis → Obtain Operative Report, Detailed Pre, Peri, and Post-Operative Hx, Physical Exam, Referral to IBD Center Its Not Always Crohn's: - Complication <1 year after IPAA mechanical until proven otherwise - 80% pts. referred for pouch failure w/ a (mis)dx of Crohn's have a mechanical complication Algorithm by Dr. Waseem Ahmed @Waseem_AhmedMD #Mechanical #Pouch #Failure #ReDo #IPAA #IBD #algorithm #management #gastroenterology
