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Future directions in imaging pouches

  • Special Section: Ileal Pouch
  • Published:
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Abstract

The sections of this special issue on the ileal pouch demonstrate that in the nearly 45 years since the ileal pouch has been utilized to treat patients with colitis and familial adenomatous polyposis, a substantial number of patients experience both short- and long-term morbidity and that imaging plays an important role in their management. Further, referral centers are encountering an increasing number of patients with pouch and peri-pouch complications and dysfunction. Many of these patients have had their pouches for years, and many have experienced a reduced quality of life as a result of their symptoms.

As we look to the future, what are the specific questions that arise from this compilation of experience from institutions that see large numbers of patients with an ileal pouch? In what areas are we deficient? In what areas are we using the wrong methods? What should we be doing differently?

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References

  1. Dane B, Huang C, Luk L, Ream J, Fletcher JG, Baker ME (2023) Contrast enema, CT, and small bowel series of the ileal pouch. Abdom Radiol. https://doi.org/10.1007/s00261-023-03903-3

  2. Quinn KP, Busciglio IA, Burton DD, Inoue A, Lee YS, Heiken JP, Sheedy SP, Fletcher JG, Raffals LE.(2022). Defining normal pouch function in patients with ileal pouch-anal anastomosis: a pilot study. Aliment Pharmacol Ther. 55(12):1560-1568. doi: https://doi.org/10.1111/apt.16859.

  3. Lalwani N, Khatri G, El Sayed RF, et al. (2021) MR defecography technique: recommendations of the society of abdominal radiology disease-focused panel on pelvic floor imaging. Abdom Radiol 46(4):1351-1361. doi: https://doi.org/10.1007/s00261-019-02160-7.

    Article  Google Scholar 

  4. Church JM (2023) The anatomy and physiology of the ileal pouch and its relevance to pouch dysfunction. Abdom Radiol. https://doi.org/10.1007/s00261-022-03721-z

  5. Church J. (2019). The implications of pouch physiology. Dis Colon Rectum 62:510-512. doi: https://doi.org/10.1097/DCR.0000000000001257

    Article  PubMed  Google Scholar 

  6. Church JM. Understanding Pouch Dysfunction (2020) Dis Colon Rectum. 63: e592. doi:https://doi.org/10.1097/DCR.0000000000001842

  7. Marcovici PA, Taylor GA. (2014). Structured radiology reports are more complete and more effective than unstructured reports. 203: 1265-1271 DOI:10:2214/AJR.14.12636

    Article  Google Scholar 

  8. Mobel JM, Geel KV, Robben SGF (2022) Structured reporting in radiology: a systematic review to explore its potential. Eur Radiol 32:2837-2854 doi: https://doi.org/10.1007/s00330-021-08327-5

    Article  Google Scholar 

  9. Huang, C., et al., Reporting Templates for MRI and Water-Soluble Contrast Enema in Patients With Ileal Pouch-Anal Anastomosis: Experience From a Large Referral Center. (2021). AJR Am J Roentgenol, 2021. 217(2): p. 347-358. doi: https://doi.org/10.2214/AJR.20.24031.

  10. Maaser C, Sturm A, Vavricka SR, et al. (2019) ECCO-ESGAR guideline for diagnostic assessment in IBD Part 1: Initial diagnosis, monitoring of known IBD, detection of complications. J Crohn's Colitis Journal of Crohn's and Colitis 13(2):144–164K doi:https://doi.org/10.1093/ecco-jcc/jjy113

    Article  PubMed  Google Scholar 

  11. Ream J, Luk L, Sheedy S, Fletcher JG, Church JM, Baker ME (2023) Dynamic pouch emptying studies. Abdom Radiol. https://doi.org/10.1007/s00261-023-03811-6

  12. Herts BR, Gandhi NS, Schneider E, et al. (2019). How we do it: creating consistent structure and content in abdominal radiology report templates. 212:490-496. doi: https://doi.org/10.2214/AJR.18.20368.

    Article  Google Scholar 

  13. Baker ME. Editorial comment on “Reporting Templates for MRI and Water-Soluble Contrast Enema in Patients with Ileal Pouch-Anal Anastomosis: Experience from a Large Referral Center.” (2021) AJR Am J Roentgenol 217:358. doi: https://doi.org/10.2214/AJR.20.24757

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Correspondence to Mark E Baker.

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Baker, M.E., Fletcher, J.G., Church, J. et al. Future directions in imaging pouches. Abdom Radiol 48, 3000–3004 (2023). https://doi.org/10.1007/s00261-023-03971-5

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  • DOI: https://doi.org/10.1007/s00261-023-03971-5

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