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Pouchitis Inflammation in an ileoanal reservoir, a pouch. Restorative proctocolectomy with a pouch made if the distal ileum is a common surgical procedure used in the treatment of ulcerative colitis. Postoperatively pouchitis is a common problem, occuring in between 6 and 30 % of the patients. Pouchitis is considered to be a relapse of the ulcerative colitis, now in the reservoir. Bacterial overgrowth in the reservoir is a contributing factor. The symptoms are diarrhea, pain, fever, bleeding, malaise and dehydration. Pouchitis is treated mainly by metronidazol, but corticosteroids are also effective.

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December 5, 2011