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Management of pouch neoplasia: consensus guidelines from the International Ileal Pouch Consortium.
Kiran, Ravi P; Kochhar, Gursimran S; Kariv, Revital; Rex, Douglas K; Sugita, Akira; Rubin, David T; Navaneethan, Udayakumar; Hull, Tracy L; Ko, Huaibin Mabel; Liu, Xiuli; Kachnic, Lisa A; Strong, Scott; Iacucci, Marietta; Bemelman, Willem; Fleshner, Philip; Safyan, Rachael A; Kotze, Paulo G; D'Hoore, André; Faiz, Omar; Lo, Simon; Ashburn, Jean H; Spinelli, Antonino; Bernstein, Charles N; Kane, Sunanda V; Cross, Raymond K; Schairer, Jason; McCormick, James T; Farraye, Francis A; Chang, Shannon; Scherl, Ellen J; Schwartz, David A; Bruining, David H; Philpott, Jessica; Bentley-Hibbert, Stuart; Tarabar, Dino; El-Hachem, Sandra; Sandborn, William J; Silverberg, Mark S; Pardi, Darrell S; Church, James M; Shen, Bo.
Affiliation
  • Kiran RP; Division of Colorectal Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.
  • Kochhar GS; Division of Gastroenterology, Hepatology, and Nutrition, Allegheny Health Network, Pittsburgh, PA, USA.
  • Kariv R; Department of Gastroenterology, Tel Aviv Sourasky Medical Center and Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Rex DK; Indiana University School of Medicine, Indianapolis, IN, USA.
  • Sugita A; Department of Clinical Research and Department of inflammatory Bowel Disease, Yokohama Municipal Citizens Hospital Yokohama, Japan.
  • Rubin DT; University of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL, USA.
  • Navaneethan U; IBD Center and IBD Interventional Unit, Center for Interventional Endoscopy, Orlando Health, Orlando, FL, USA.
  • Hull TL; Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA.
  • Ko HM; Department of Pathology and Cell Biology, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.
  • Liu X; Department of Pathology and Immunology, Washington University, St Louis, MO, USA.
  • Kachnic LA; Department of Radiation Oncology, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.
  • Strong S; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Iacucci M; Institute of Immunology and Immunotherapy, NIHR Birmingham Biomedical Research Centre, University Hospitals NHS Foundation Trust, University of Birmingham, UK.
  • Bemelman W; Department of Surgery, Academic Medical Center, Amsterdam, Netherlands.
  • Fleshner P; Division of Colorectal Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA.
  • Safyan RA; Division of Hematology and Oncology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Kotze PG; IBD Outpatients Clinic, Catholic University of Paraná, Curitiba, Brazil.
  • D'Hoore A; Department of Abdominal Surgery, University Hospital Leuven, Belgium.
  • Faiz O; Department of Surgery, St Mark's Hospital and Academic Institute, Harrow and Department of Surgery and Cancer, Imperial College London, London, UK.
  • Lo S; Pancreatic and Biliary Disease Program, Digestive Diseases, Cedars Sinai Medical Center, Los Angeles, CA, USA.
  • Ashburn JH; Department of Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.
  • Spinelli A; Department of Biomedical Sciences, Humanitas University and IRCCS Humanitas Research Hospital, Division Colon and Rectal Surgery, Rozzano, Milan, Italy.
  • Bernstein CN; University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, Winnipeg, MB, Canada.
  • Kane SV; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Cross RK; Inflammatory Bowel Disease Program, University of Maryland School of Medicine, MD, USA.
  • Schairer J; Department of Gastroenterology, Henry Ford Health System, Detroit, MI, USA.
  • McCormick JT; Division of Colon and Rectal Surgery, Allegheny Health Network, Pittsburgh, PA, USA.
  • Farraye FA; Division of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL, USA.
  • Chang S; Inflammatory Bowel Disease Center, NYU Langone Health, NYU Grossman School of Medicine, New York, NY, USA.
  • Scherl EJ; Jill Roberts Center for IBD, Gastroenterology and Hepatology, Weill Cornell Medicine and NewYork Presbyterian Hospital, New York, NY, USA.
  • Schwartz DA; Department of Gastroenterology, Vanderbilt University Medical Center, Nashville, TN, USA.
  • Bruining DH; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Philpott J; Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH, USA.
  • Bentley-Hibbert S; Department of Radiology, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.
  • Tarabar D; IBD Clinical Center, University Hospital Center Dr Dragisa Misovic, Belgrade, Serbia.
  • El-Hachem S; Division of Gastroenterology, Hepatology, and Nutrition, Allegheny Health Network, Pittsburgh, PA, USA.
  • Sandborn WJ; Department of Medicine, University of California San Diego, San Diego, CA, USA.
  • Silverberg MS; Mount Sinai Hospital Inflammatory Bowel Disease Centre, Toronto, ON, Canada.
  • Pardi DS; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
  • Church JM; Division of Colorectal Surgery, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.
  • Shen B; Center for Interventional Inflammatory Bowel Disease, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA. Electronic address: bs3270@cumc.columbia.edu.
Lancet Gastroenterol Hepatol ; 7(9): 871-893, 2022 09.
Article in En | MEDLINE | ID: mdl-35798022
ABSTRACT
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Proctocolectomy, Restorative / Adenomatous Polyposis Coli / Colonic Pouches Type of study: Guideline Limits: Humans Language: En Journal: Lancet Gastroenterol Hepatol Year: 2022 Document type: Article Affiliation country: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Proctocolectomy, Restorative / Adenomatous Polyposis Coli / Colonic Pouches Type of study: Guideline Limits: Humans Language: En Journal: Lancet Gastroenterol Hepatol Year: 2022 Document type: Article Affiliation country: United States