Pouchitis after IPAA in ulcerative colitis

NEET SS - Pouchitis Question

Free Question: NEET SS Surgery

Q: Which of the following is NOT a risk factor for pouchitis post-IPAA in ulcerative colitis?

Explanation Ans A :
Pouchitis is a common complication of Ileal Pouch Anal Anastomosis (IPAA) for Ulcerative Colitis, with an incidence up to 50%.

Smoking is protective against pouchitis.

Risk factors include: - Extra-intestinal manifestations (e.g. arthritis) - ANCA positivity - NOD2insC mutation - NSAIDs and PPI use post-op - Extent of colitis and thrombocytosis

🔗 Ref: Wiley Journal Article