This paper discusses mistakes in the assessment and management of primary idiopathic pouchitis and how best to avoid them. Most of the discussion is evidenced based, but where evidence is lacking the discussion is based on our extensive clinical experience of treating patients who have pouch dysfunction. 

 © (2020) Segal, Clark and Hart.

Cite this article as: Segal JP, Clark SK and Hart AL. Mistakes in pouchitis and how to avoid them. UEG Education 2020; 20: 7–11.

Jonathan Segal is a specialist gastreonterology registrar and Susan Clark is a consultant colorectal surgeon at St Mark’s Hospital, Harrow, United Kingdom and in the Department of Surgery and Cancer, Imperial College London, United Kingdom. Ailsa Hart is a consultant gastroenterologist at St Mark’s Hospital, Harrow, United Kingdom and in the Faculty of Medicine, Department of Metabolism, Digestion and Reproduction, Imperial College London, United Kingdom.

Illustrations: J. Shadwell.

Correspondence to: jonathansegal1@nhs.net

Conflict of interest: The authors declare they have no conflicts of interest to declare in relation to this article.

Published online: July 9, 2020 (on ueg.education)