Chronic pouchitis was reported as a risk factor for the development of iron-deficiency anaemia [79, 80]. Iron deficiency occurred in 10.4% of patients after IPAA. Massive, overt bleeding is a rare complication of patients after IPAA. Iron-deficiency anaemia was found in 22% of our patients. They were treated with oral or intravenous iron supplements. There was no correlation between pouch inflammation and iron-deficiency anemia. In the follow up of pouch patients, including those with a good pouch function, we recommend on periodic laboratory evaluation that should include a complete blood count, electrolytes and renal function tests, liver function tests and vitamin B12 and folic acid determinations.
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