The Incidence of Pouch Neoplasia Following Ileal Pouch-Anal Anastomosis in Patients With Inflammatory Bowel Disease.
Siri A UrquhartBryce P ComstockMauricio F JinCourtney N DayJohn E EatonWilliam S HarmsenLaura E RaffalsEdward V LoftusNayantara Coelho-PrabhuPublished in: Inflammatory bowel diseases (2023)
The incidence of pouch neoplasia in IBD patients who have undergone IPAA is relatively low. Extensive colitis, primary sclerosing cholangitis, and backwash ileitis prior to IPAA and rectal dysplasia at the time of IPAA raise the risk of pouch neoplasia significantly. A limited surveillance program might be appropriate for patients with IPAA even with a history of colorectal neoplasia.