Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium

Bo Shen; Gursimran S. Kochhar; Revital Kariv; Xiuli Liu; Udayakumar Navaneethan; David T. Rubin; Raymond K. Cross; Akira Sugita; André D'Hoore; Jason Schairer; Francis A. Farraye; Ravi P. Kiran; Philip Fleshner; Joel Rosh; Samir A. Shah; Shannon Chang; Ellen Scherl; Darrell S. Pardi; David A. Schwartz; Paulo G. Kotze; David H. Bruining; Sunanda V. Kane; Jessica Philpott; Bincy Abraham; Jonathan Segal; Rocio Sedano; Maia Kayal; Stuart Bentley-Hibbert; Dino Tarabar; Sandra El-Hachem; Priya Sehgal; James T. McCormick; Joseph A. Picoraro; Mark S. Silverberg; Charles N. Bernstein; William J. Sandborn; Séverine Vermeire

doi:10.1016/S2468-1253(21)00101-1

Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium

Bo Shen, Gursimran S. Kochhar, Revital Kariv, Xiuli Liu, Udayakumar Navaneethan, David T. Rubin, Raymond K. Cross, Akira Sugita, André D'Hoore, Jason Schairer, Francis A. Farraye, Ravi P. Kiran, Philip Fleshner, Joel Rosh, Samir A. Shah, Shannon Chang, Ellen Scherl, Darrell S. Pardi, David A. Schwartz, Paulo G. KotzeDavid H. Bruining, Sunanda V. Kane, Jessica Philpott, Bincy Abraham, Jonathan Segal, Rocio Sedano, Maia Kayal, Stuart Bentley-Hibbert, Dino Tarabar, Sandra El-Hachem, Priya Sehgal, James T. McCormick, Joseph A. Picoraro, Mark S. Silverberg, Charles N. Bernstein, William J. Sandborn, Séverine Vermeire

Research output: Contribution to journal › Review article › peer-review

84 Scopus citations

Abstract

Restorative proctocolectomy with ileal pouch–anal anastomosis is an option for most patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Although the construction of an ileal pouch substantially improves patients' health-related quality of life, the surgery is, directly or indirectly, associated with various structural, inflammatory, and functional adverse sequelae. Furthermore, the surgical procedure does not completely abolish the risk for neoplasia. Patients with ileal pouches often present with extraintestinal, systemic inflammatory conditions. The International Ileal Pouch Consortium was established to create this consensus document on the diagnosis and classification of ileal pouch disorders using available evidence and the panellists' expertise. In a given individual, the condition of the pouch can change over time. Therefore, close monitoring of the activity and progression of the disease is essential to make accurate modifications in the diagnosis and classification in a timely manner.

Original language	English (US)
Pages (from-to)	826-849
Number of pages	24
Journal	The Lancet Gastroenterology and Hepatology
Volume	6
Issue number	10
DOIs	https://doi.org/10.1016/S2468-1253(21)00101-1
State	Published - Oct 2021

Keywords

Adenomatous Polyposis Coli/complications
Anastomotic Leak/epidemiology
Colectomy/adverse effects
Colitis, Ulcerative/complications
Colonic Pouches/adverse effects
Consensus
Disease Progression
Female
Guidelines as Topic
Humans
Male
Middle Aged
Pouchitis/classification
Proctocolectomy, Restorative/adverse effects
Quality of Life

ASJC Scopus subject areas

Gastroenterology
Hepatology

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10.1016/S2468-1253(21)00101-1

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Shen, B., Kochhar, G. S., Kariv, R., Liu, X., Navaneethan, U., Rubin, D. T., Cross, R. K., Sugita, A., D'Hoore, A., Schairer, J., Farraye, F. A., Kiran, R. P., Fleshner, P., Rosh, J., Shah, S. A., Chang, S., Scherl, E., Pardi, D. S., Schwartz, D. A., ... Vermeire, S. (2021). Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium. The Lancet Gastroenterology and Hepatology, 6(10), 826-849. https://doi.org/10.1016/S2468-1253(21)00101-1

Shen, B, Kochhar, GS, Kariv, R, Liu, X, Navaneethan, U, Rubin, DT, Cross, RK, Sugita, A, D'Hoore, A, Schairer, J, Farraye, FA, Kiran, RP, Fleshner, P, Rosh, J, Shah, SA, Chang, S, Scherl, E, Pardi, DS, Schwartz, DA, Kotze, PG, Bruining, DH, Kane, SV, Philpott, J, Abraham, B, Segal, J, Sedano, R, Kayal, M, Bentley-Hibbert, S, Tarabar, D, El-Hachem, S, Sehgal, P, McCormick, JT, Picoraro, JA, Silverberg, MS, Bernstein, CN, Sandborn, WJ & Vermeire, S 2021, 'Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium', The Lancet Gastroenterology and Hepatology, vol. 6, no. 10, pp. 826-849. https://doi.org/10.1016/S2468-1253(21)00101-1

@article{bef562fe4844407bb5b661e29dcca77f,

title = "Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium",

abstract = "Restorative proctocolectomy with ileal pouch–anal anastomosis is an option for most patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Although the construction of an ileal pouch substantially improves patients' health-related quality of life, the surgery is, directly or indirectly, associated with various structural, inflammatory, and functional adverse sequelae. Furthermore, the surgical procedure does not completely abolish the risk for neoplasia. Patients with ileal pouches often present with extraintestinal, systemic inflammatory conditions. The International Ileal Pouch Consortium was established to create this consensus document on the diagnosis and classification of ileal pouch disorders using available evidence and the panellists' expertise. In a given individual, the condition of the pouch can change over time. Therefore, close monitoring of the activity and progression of the disease is essential to make accurate modifications in the diagnosis and classification in a timely manner.",

keywords = "Adenomatous Polyposis Coli/complications, Anastomotic Leak/epidemiology, Colectomy/adverse effects, Colitis, Ulcerative/complications, Colonic Pouches/adverse effects, Consensus, Disease Progression, Female, Guidelines as Topic, Humans, Male, Middle Aged, Pouchitis/classification, Proctocolectomy, Restorative/adverse effects, Quality of Life",

author = "Bo Shen and Kochhar, {Gursimran S.} and Revital Kariv and Xiuli Liu and Udayakumar Navaneethan and Rubin, {David T.} and Cross, {Raymond K.} and Akira Sugita and Andr{\'e} D'Hoore and Jason Schairer and Farraye, {Francis A.} and Kiran, {Ravi P.} and Philip Fleshner and Joel Rosh and Shah, {Samir A.} and Shannon Chang and Ellen Scherl and Pardi, {Darrell S.} and Schwartz, {David A.} and Kotze, {Paulo G.} and Bruining, {David H.} and Kane, {Sunanda V.} and Jessica Philpott and Bincy Abraham and Jonathan Segal and Rocio Sedano and Maia Kayal and Stuart Bentley-Hibbert and Dino Tarabar and Sandra El-Hachem and Priya Sehgal and McCormick, {James T.} and Picoraro, {Joseph A.} and Silverberg, {Mark S.} and Bernstein, {Charles N.} and Sandborn, {William J.} and S{\'e}verine Vermeire",

note = "Funding Information: JAP is supported by the Dan and Jill Wallen Family Fund. BS is supported by the Edelman-Jarislowsky Professor of Surgical Sciences. We thank David Quint and Sheila Quint for supporting the Columbia University Ileal Pouch Center (New York, NY, USA). The consensus group was grateful to Allegheny General Hospital (Pittsburgh, PA, USA) for providing Continuing Medical Education credits for the Delphi meeting. Funding Information: JAP is supported by the Dan and Jill Wallen Family Fund. BS is supported by the Edelman-Jarislowsky Professor of Surgical Sciences. We thank David Quint and Sheila Quint for supporting the Columbia University Ileal Pouch Center (New York, NY, USA). The consensus group was grateful to Allegheny General Hospital (Pittsburgh, PA, USA) for providing Continuing Medical Education credits for the Delphi meeting. Publisher Copyright: {\textcopyright} 2021 Elsevier Ltd",

year = "2021",

month = oct,

doi = "10.1016/S2468-1253(21)00101-1",

language = "English (US)",

volume = "6",

pages = "826--849",

journal = "The Lancet Gastroenterology and Hepatology",

issn = "2468-1253",

publisher = "Elsevier Ltd",

number = "10",

}

TY - JOUR

T1 - Diagnosis and classification of ileal pouch disorders

T2 - consensus guidelines from the International Ileal Pouch Consortium

AU - Shen, Bo

AU - Kochhar, Gursimran S.

AU - Kariv, Revital

AU - Liu, Xiuli

AU - Navaneethan, Udayakumar

AU - Rubin, David T.

AU - Cross, Raymond K.

AU - Sugita, Akira

AU - D'Hoore, André

AU - Schairer, Jason

AU - Farraye, Francis A.

AU - Kiran, Ravi P.

AU - Fleshner, Philip

AU - Rosh, Joel

AU - Shah, Samir A.

AU - Chang, Shannon

AU - Scherl, Ellen

AU - Pardi, Darrell S.

AU - Schwartz, David A.

AU - Kotze, Paulo G.

AU - Bruining, David H.

AU - Kane, Sunanda V.

AU - Philpott, Jessica

AU - Abraham, Bincy

AU - Segal, Jonathan

AU - Sedano, Rocio

AU - Kayal, Maia

AU - Bentley-Hibbert, Stuart

AU - Tarabar, Dino

AU - El-Hachem, Sandra

AU - Sehgal, Priya

AU - McCormick, James T.

AU - Picoraro, Joseph A.

AU - Silverberg, Mark S.

AU - Bernstein, Charles N.

AU - Sandborn, William J.

AU - Vermeire, Séverine

N1 - Funding Information: JAP is supported by the Dan and Jill Wallen Family Fund. BS is supported by the Edelman-Jarislowsky Professor of Surgical Sciences. We thank David Quint and Sheila Quint for supporting the Columbia University Ileal Pouch Center (New York, NY, USA). The consensus group was grateful to Allegheny General Hospital (Pittsburgh, PA, USA) for providing Continuing Medical Education credits for the Delphi meeting. Funding Information: JAP is supported by the Dan and Jill Wallen Family Fund. BS is supported by the Edelman-Jarislowsky Professor of Surgical Sciences. We thank David Quint and Sheila Quint for supporting the Columbia University Ileal Pouch Center (New York, NY, USA). The consensus group was grateful to Allegheny General Hospital (Pittsburgh, PA, USA) for providing Continuing Medical Education credits for the Delphi meeting. Publisher Copyright: © 2021 Elsevier Ltd

PY - 2021/10

Y1 - 2021/10

N2 - Restorative proctocolectomy with ileal pouch–anal anastomosis is an option for most patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Although the construction of an ileal pouch substantially improves patients' health-related quality of life, the surgery is, directly or indirectly, associated with various structural, inflammatory, and functional adverse sequelae. Furthermore, the surgical procedure does not completely abolish the risk for neoplasia. Patients with ileal pouches often present with extraintestinal, systemic inflammatory conditions. The International Ileal Pouch Consortium was established to create this consensus document on the diagnosis and classification of ileal pouch disorders using available evidence and the panellists' expertise. In a given individual, the condition of the pouch can change over time. Therefore, close monitoring of the activity and progression of the disease is essential to make accurate modifications in the diagnosis and classification in a timely manner.

AB - Restorative proctocolectomy with ileal pouch–anal anastomosis is an option for most patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Although the construction of an ileal pouch substantially improves patients' health-related quality of life, the surgery is, directly or indirectly, associated with various structural, inflammatory, and functional adverse sequelae. Furthermore, the surgical procedure does not completely abolish the risk for neoplasia. Patients with ileal pouches often present with extraintestinal, systemic inflammatory conditions. The International Ileal Pouch Consortium was established to create this consensus document on the diagnosis and classification of ileal pouch disorders using available evidence and the panellists' expertise. In a given individual, the condition of the pouch can change over time. Therefore, close monitoring of the activity and progression of the disease is essential to make accurate modifications in the diagnosis and classification in a timely manner.

KW - Adenomatous Polyposis Coli/complications

KW - Anastomotic Leak/epidemiology

KW - Colectomy/adverse effects

KW - Colitis, Ulcerative/complications

KW - Colonic Pouches/adverse effects

KW - Consensus

KW - Disease Progression

KW - Female

KW - Guidelines as Topic

KW - Humans

KW - Male

KW - Middle Aged

KW - Pouchitis/classification

KW - Proctocolectomy, Restorative/adverse effects

KW - Quality of Life

UR - http://www.scopus.com/inward/record.url?scp=85117540212&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85117540212&partnerID=8YFLogxK

U2 - 10.1016/S2468-1253(21)00101-1

DO - 10.1016/S2468-1253(21)00101-1

M3 - Review article

C2 - 34416186

AN - SCOPUS:85117540212

SN - 2468-1253

VL - 6

SP - 826

EP - 849

JO - The Lancet Gastroenterology and Hepatology

JF - The Lancet Gastroenterology and Hepatology

IS - 10

ER -

Diagnosis and classification of ileal pouch disorders: consensus guidelines from the International Ileal Pouch Consortium

Abstract

Keywords

ASJC Scopus subject areas

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