关键词: Advances in the prevention and treatment of complications after ileal pouch anal anastomosis ,  ,  ,  , XU Yi*, GONG Jian-feng. *School of Medicine, Southeast University, Nanjing 211189, China
Corresponding author：GONG Jian-feng, E-mail：gongjian
feng@nju.edu.cn
Abstract ,  , Total proctocolectomy with ileal pouch-anal anastomosis（IPAA）, as the first choice for surgery way of ulcerative colitis（UC） and familial adenomatous polyposis（FAP）, retains the normal digestive pathway and greatly improves the long-term quality of life of patients. However, IPAA inevitably brings related complications（such as pouchitis, etc）. Recognizing these complications and dealing with them at the early stage is the key to improve the therapeutic effect of IPAA surgery. The short-term and long-term complications may be attributed to the residual rectal mucosa or the change of ileal pouch structure, and the mechanism is unclear. Chronic pouchitis and other chronic inflammation can increase the risk of pouch malformation and affect the quality of life in patients after surgery. Through constantly updated follow-up data, clinicians need to be aware that the formation of pouch does not mean the end of UC treatment, and they should pay more attention to the long-term follow-up monitoring after operation.  

Abstract: 回肠储袋肛管吻合术；储袋炎；溃疡性结肠炎；术后并发症

Key words: ileal pouch-anal anastomosis（IPAA）, pouchitis, ulcerative colitis, postoperative complications