Pouchitis in chronic ulcerative colitis


Q. In patients undergoing restorative proctocolectomy for chronic ulcerative colitis, which of the following statements regarding pouchitis is TRUE?

a) More common in females
b) Positively associated with smoking
c) Associated with primary sclerosing cholangitis
d) Associated with p-ANCA positivity

Show Answer & Explanation

Correct Answer: c) Associated with primary sclerosing cholangitis

True is association with PSC

Incidence of pouchitis after restorative proctocolectomy is 16-48%. It increases over time.

Risk of pouchitis is more after surgery for Chronic Ulcerative colitis (CUC) than FAP.

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