Pelvic Pouch Complications

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Recorded05 May 2026

Publisheranchor.fm ↗

Handlerec:18262173

Show notes

A salvage-focused guide for the failing pouch. We outline the "structured assessment" triad (Endoscopy, EUA, Imaging) to differentiate mechanical failure from sepsis or Crohn's misdiagnosis. The episode introduces the "Thoughtful Ileostomy" as a diagnostic tool and details management for specific phenotypes like "obesity-related asymmetric pouchitis". We also cover the high success rates of redo-pouch surgery for technical failures and the management of chronic presacral sinuses.

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