Publication Date

10-1-2025

Journal

Journal of Pediatric Gastroenterology and Nutrition

DOI

10.1002/jpn3.70175

PMID

40757437

PMCID

PMC12484707

PubMedCentral® Posted Date

8-4-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Ileal pouch-anal anastomosis is a surgical intervention in patients with medically refractory inflammatory bowel disease and familial adenomatous polyposis syndrome. Reported outcomes in children have been limited by both the retrospective nature and sample size of the investigations. In addition, there is a lack of consensus on surveillance guidelines in this patient population. Delay or lack of surveillance may increase the risk of complications (pouchitis, Crohn's disease-like inflammation, dysplasia, etc.). This narrative review aims to summarize the most recent literature (2013-2023) on short-term, long-term, and quality of life (QoL) outcomes in pediatric ileal pouch (J-pouch) patients. A proposed surveillance guidance is also provided.

Keywords

Humans, Adenomatous Polyposis Coli, Child, Colonic Pouches, Proctocolectomy, Restorative, Quality of Life, Inflammatory Bowel Diseases, Postoperative Complications, Adolescent, colectomy, ileostomy, inflammation, outcomes

Published Open-Access

yes

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