In evaluating post-proctocolectomy patients with ileal pouch anal anastomosis (IPAA), anopouch manometry (APM) highlights defecatory symptoms. Less than 10% of symptomatic IPAA patients undergo APM. Dyssynergic defecation, prevalent in 47.0% to 100% of cases, associates with fecal incontinence. APM alone proves imperfect for pouch function assessment, prompting the need for confirmatory dynamic imaging. This study emphasizes expanding diagnostic approaches, recognizing dyssynergic defecation and fecal incontinence in symptomatic IPAA patients.
Journal Article by Luo Y, Schmidt N (…) Kayal M et 2 al. in Inflamm Bowel Dis
© The Author(s) 2022. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
© The Author(s) 2022. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.