The Concept of a Comprehensive Pouch Clinic

At present, colorectal surgeons usually conduct the follow-up of patients after IPAA although this distinct patient population often requires medical as well as surgical follow-up, as shall be discussed in the following sections. With a primary goal of improving quality of patient care, we have established a multi-disciplinary pouch clinic comprised of a colorectal surgeon and an IBD-oriented gastroenterologist. Patients are interviewed, examined and treated by both surgeon and gastroenterologist simultaneously at their outpatient clinic visit. Laboratory blood tests, pouch endoscopy and biopsies are done routinely 1 year post-IPAA or at the beginning of follow-up at the clinic and yearly thereafter or upon demand. Our experience, based on the follow-up of 125 UC patients after IPAA in such an approach, is integrated in the following sections.

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