Related Experiment Video
Updated: Jun 16, 2026

A Rat Model of Pouchitis Following Proctocolectomy and Ileal Pouch-Anal Anastomosis Using Dextran Sulfate Sodium
Published on: May 31, 2024
Endoscopic Management of Pouch Volvulus as a Complication of Ileal Pouch Anal Anastomosis in Patients With Ulcerative
Vrinda Kareddy1, Stephanie Ioannou1, Amar R Deshpande1
1Department of Medicine, Division of Digestive Health and Liver Diseases, University of Miami Miller School of Medicine, Miami, FL.
Abstract:
Pouch volvulus is a rare but potentially morbid complication after total proctocolectomy with ileal pouch anal anastomosis, typically managed surgically. Evidence for definitive endoscopic therapy is limited. We report 2 patients with ulcerative colitis who developed pouch volvulus after ileal pouch anal anastomosis and were poor surgical candidates due to medical complexity. Both underwent successful endoscopic detorsion; 1 required adjunctive endoscopic decompression with temporary tube placement. Symptoms resolved without ischemia, and no recurrence occurred through 6 months of follow-up. These cases suggest endoscopic detorsion can be a safe, diagnostic, and definitive management option for complex patients with viable pouch mucosa.
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