TY - JOUR
T1 - Management of pouch neoplasia
T2 - consensus guidelines from the International Ileal Pouch Consortium
AU - Kiran, Ravi P.
AU - Kochhar, Gursimran S.
AU - Kariv, Revital
AU - Rex, Douglas K.
AU - Sugita, Akira
AU - Rubin, David T.
AU - Navaneethan, Udayakumar
AU - Hull, Tracy L.
AU - Ko, Huaibin Mabel
AU - Liu, Xiuli
AU - Kachnic, Lisa A.
AU - Strong, Scott
AU - Iacucci, Marietta
AU - Bemelman, Willem
AU - Fleshner, Philip
AU - Safyan, Rachael A.
AU - Kotze, Paulo G.
AU - D'Hoore, André
AU - Faiz, Omar
AU - Lo, Simon
AU - Ashburn, Jean H.
AU - Spinelli, Antonino
AU - Bernstein, Charles N.
AU - Kane, Sunanda V.
AU - Cross, Raymond K.
AU - Schairer, Jason
AU - McCormick, James T.
AU - Farraye, Francis A.
AU - Chang, Shannon
AU - Scherl, Ellen J.
AU - Schwartz, David A.
AU - Bruining, David H.
AU - Philpott, Jessica
AU - Bentley-Hibbert, Stuart
AU - Tarabar, Dino
AU - El-Hachem, Sandra
AU - Sandborn, William J.
AU - Silverberg, Mark S.
AU - Pardi, Darrell S.
AU - Church, James M.
AU - Shen, Bo
N1 - Publisher Copyright:
© 2022 Elsevier Ltd
PY - 2022/9
Y1 - 2022/9
N2 - Surveillance pouchoscopy is recommended for patients with restorative proctocolectomy with ileal pouch–anal anastomosis in ulcerative colitis or familial adenomatous polyposis, with the surveillance interval depending on the risk of neoplasia. Neoplasia in patients with ileal pouches mainly have a glandular source and less often are of squamous cell origin. Various grades of neoplasia can occur in the prepouch ileum, pouch body, rectal cuff, anal transition zone, anus, or perianal skin. The main treatment modalities are endoscopic polypectomy, endoscopic ablation, endoscopic mucosal resection, endoscopic submucosal dissection, surgical local excision, surgical circumferential resection and re-anastomosis, and pouch excision. The choice of the treatment modality is determined by the grade, location, size, and features of neoplastic lesions, along with patients' risk of neoplasia and comorbidities, and local endoscopic and surgical expertise.
AB - Surveillance pouchoscopy is recommended for patients with restorative proctocolectomy with ileal pouch–anal anastomosis in ulcerative colitis or familial adenomatous polyposis, with the surveillance interval depending on the risk of neoplasia. Neoplasia in patients with ileal pouches mainly have a glandular source and less often are of squamous cell origin. Various grades of neoplasia can occur in the prepouch ileum, pouch body, rectal cuff, anal transition zone, anus, or perianal skin. The main treatment modalities are endoscopic polypectomy, endoscopic ablation, endoscopic mucosal resection, endoscopic submucosal dissection, surgical local excision, surgical circumferential resection and re-anastomosis, and pouch excision. The choice of the treatment modality is determined by the grade, location, size, and features of neoplastic lesions, along with patients' risk of neoplasia and comorbidities, and local endoscopic and surgical expertise.
UR - https://www.scopus.com/pages/publications/85135495232
U2 - 10.1016/S2468-1253(22)00039-5
DO - 10.1016/S2468-1253(22)00039-5
M3 - Review article
C2 - 35798022
AN - SCOPUS:85135495232
SN - 2468-1253
VL - 7
SP - 871
EP - 893
JO - The Lancet Gastroenterology and Hepatology
JF - The Lancet Gastroenterology and Hepatology
IS - 9
ER -
SDG 3 Good Health and Well-being