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Endoscopic spectrum of pouchitis and pouch disorders

Endoscopic spectrum of pouchitis and pouch disorders
(A) Normal pouch with owls' anatomy of the pouch inlet and the tip of "J".
(B) Diversion pouchitis.
(C) Classic pouchitis with diffuse inflammation.
(D) Clostridium difficile pouchitis with pseudomembrane.
(E) Ischemic pouchitis with asymmetric distribution of inflammation in the pouch body.
(F) Cuffitis.
(G) Crohn disease with pouch vaginal fistula opening (arrow).
(H) Anastomotic sinus due to surgical leak (arrow).
Reprinted by permission from Macmillan Publishers Ltd: Nature Reviews Gastroenterology and Hepatology. Shen B. Acute and chronic pouchitis: Pathogenesis, diagnosis and treatment. Nat Rev Gastroenterol Hepatol 2012; 9:323. Copyright © 2012. www.nature.com/nrgastro.
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