Classification of ileal pouch disorders and associated complications

Surgical and mechanical	Anastomotic leaks Pelvic sepsis and abscess Pouch sinuses Pouch fistulas Strictures Afferent limb syndrome and efferent limb syndrome Infertility and sexual dysfunction Portal vein thrombi Pouch prolapse, twisted pouch bleeding, sphincter injury or dysfunction
Inflammatory and infectious	Pouchitis Cuffitis Crohn disease of the pouch Proximal small bowel bacterial overgrowth Inflammatory polyps
Functional	Irritable pouch syndrome Anismus Pseudo-obstruction
Dysplastic and neoplastic	Dysplasia or cancer of the pouch Dysplasia or cancer of the anastomosis
Systemic and metabolic	Anemia Bone loss Vitamin B12 deficiency

Reproduced with permission from: Shen, B, Remzi, FH, Lavery, IC, et al. A Proposed Classification of Ileal Pouch Disorders and Associated Complications After Restorative Proctocolectomy. Clin Gastroenterol Hepatol 2008; 6:145. Copyright © 2008 Elsevier.

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Classification of ileal pouch disorders and associated complications