I read with interest the article by de Buck van Overstraeten et al., ‘Intersphincteric proctectomy with end-colostomy for anorectal Crohn's disease (CD) results in early and severe proximal colonic recurrence’.1 In their case series, 10 consecutive patients underwent intersphincteric proctectomy with end-colostomy. Early symptomatic recurrence occurred in 9 of the 10 patients at a median follow...

Restorative proctocolectomy with ileal pouch-anal anastomosis (RP/IPAA) is the surgical therapy of choice for patients with chronic ulcerative colitis (CUC).1 The association between appendiceal cancer and CUC with long-standing disease and pancolitis was reported.2–5 However, therewere no established surgical intervention strategies for these patients. We report a case of CUC associated with a...

A 62 year-old patient with therapy-refractory pouchitis after proctocolectomy for ulcerative colitis was admitted with hematochezia and abdominal discomfort. A malignant melanoma (MM) was found after repeated biopsies of the pouch. Complete staging revealed no evidence for distant metastases and the patient underwent abdominoperineal pouch resection. Six weeks later, the patient was readmitted ...

Although inflammatory polyposis of the colon is a recognized local complication of ulcerative colitis, giant inflammatory polyposis that totally obliterates the colonic lumen is uncommon, and most of the patients have been from Western countries. We report a Japanese man who had localized giant inflammatory polyposis that obstructed the retrograde flow of barium in a double-contrast barium enem...

Ileal pouch-anal anastomosis (IPAA) is the standard restorative procedure after proctocolectomy in patients with ulcerative colitis (UC) who require colectomy. The ileal pouch is susceptible to a variety of insults including mechanical injury, ischemia, fecal stasis, and infectious agents. In addition, the development of recurrent and idiopathic inflammatory bowel disease and neoplasia may occu...