Most patients with ulcerative colitis (UC) can be managed medically. However, about 20-30% will eventually require elective or emergency surgery. Restorative proctocolectomy with ileal pouch anal anastomosis (IPAA) has become firmly established as the operation preferred by most surgeons and patients because of the advantages of complete removal of the diseased colorectal mucosa, preservation of continence with relatively normal defecation and avoidance of a permanent ileostomy [1-5]. This chapter describes our experience with the follow-up of UC patients undergoing IPAA, focuses on potential short-term and long-term complications and presents our comprehensive, multidisciplinary approach.

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