Algorithm for the Evaluation of CARP Pouchitis and Pouch Disorders - Recurrent Pouchitis on Pouchoscopy & Histology
CARP = Chronic Antibiotic Refractory Pouchitis
Secondary Etiologies?
• Medication, Infectious, Autoimmune Pouchitis, Ischemic Pouchitis, Crohn's Pouchitis
Surgical or Structural Disorders?
• Anastomotic Stricture, Leak/Sinus, Early <12mo Pouch Fistula, Tip of the "J" Leak, Floppy Pouch Complex
Evacuation Disorder?
• Decreased Pouch Compliance (Hx Pelvic Sepsis/Abscess?), Dyssynergic Defecation
Algorithm by Dr. Waseem Ahmed @Waseem_AhmedMD
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