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Orestis Argyrou – Improving councelling for patients considering surgery…

A presentation by Orestis Argyrou, Research Fellow in IBD & Colorectal Surgery at St Mark’s Hospital & Academic Institute in which Orestis described his extensive research into quality of life, surgical outcomes and expectations of patients undergoing pouch surgery.

His research will include an analysis of the outcomes of some 2000+ surgeries over the last 15 years across 56 centres in Europe and the UK, which will potentially create a persuasive argument for a pouch registry to document every pouch operation and outcomes.

Also a greater understanding of pouch surgery outcomes versus other surgical options, a deeper understanding of the challenges facing pouchees in the workplace and a guide to employers to better accommodate pouchees in the workplace, and an understanding of how best to consent patients for surgery given the extensive coverage in social media (of variable accuracy and relevance).

Orestis was profuse in his gratitude to the Red Lion Group and IA (Ileostomy Association) pouch communities who have helped with this research.

Samantha Evans and Lisa Allison – Managing Pouch Complications

Featuring Samantha Evans, nurse consultant for stoma- and pouchcare at St Mark’s Hospital, and Lisa Allison, clinical nurse specialist for pouchcare, who oversee the before and after activities of St. Mark’s Hospital’s pouchcare and pouch operations. This is the Second of their two scheduled webcasts for the Red Lion Group in 2026 in which they the discuss the hospital’s enhanced recovery post-operative process and how they manage pouch complications in the hospital’s Nurse-led clinics.

Also featuring Azam Shamsi, clinical nurse specialist for pouchcare.

Samantha Evans & Lisa Allison – Preparing for pouch…

Featuring Samantha Evans, nurse consultant for stoma- and pouchcare at St Mark’s Hospital, and Lisa Allison, clinical nurse specialist for pouchcare, who oversee the before and after activities of St Mark’s Hospital’s pouchcare and pouch operations. This is the first of their two scheduled webcasts for the Red Lion Group in 2026 in which they describe the structure of the St Mark’s pouchcare nursing team and how they prepare patients for pouch surgery at St. Mark’s Hospital; The second in the series which you will also find on this YouTube channel highlights the hospital’s enhanced recovery post-operative process and how they manage pouch complications in the hospital’s Nurse-led clinics.

Dr Alexa Duff – Psychology and IBD

Featuring Dr Alexa Duff, lead clinical psychologist specialising in IBD at St. Mark’s Hospital and founder of The Gut Brain Connection (gutbrainconnection.co.uk).

Dr. Alexa Duff – Psychology and IDB

ROAR – Issue 69: Autumn 2025

ROAR! Issue 69: Autumn 2025

Read flip book above or download PDF below.

ROAR – Issue 69: Autumn 2025
ROAR – Issue 69: Autumn 2025
Download Now!158 Downloads

J Pouch or Stoma? A life changing decision

Featuring Janindra Warusavitarne, Consultant Colorectal Surgeon at St. Mark’s Hospital, London, who is one of the most experienced surgeons currently performing J pouch also known as IPAA (lieal-pouch anal anastomosis) surgery.

In this session Janindra addresses many issues and concerns raised by an audience comprising of people with both old and new pouches, and indeed some still in the process of deciding if a J pouch is the right course of action for themselves.

Whether you are considering a J pouch or have many years of experience of living with a pouch, this session will have something for you.

Recorded on 13 August 2025 on behalf of the Red Lion Group, Registered charity, (c) Red Lion Group. All rights reserved.


Mistakes in pouchitis and how to avoid them

Mistakes in Pouchitis and how to avoid them
Mistakes in Pouchitis and how to avoid them

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)

Download Now!222 Downloads

Guy Worley -Ileoanal pouch surgery alternatives, techniques and trends

Former St Mark’s Hospital (The UK National Bowel Hospital) research fellow Guy Worley looks at the pros and cons of opting to have ilieoanal pouch surgery. Is it the answer for UC sufferers and what are the alternatives? He also reviews the latest technical changes in pouch surgery. Finally, he asks if patients are properly informed to give their consent to operations? Guy is now a consultant IBD surgeon at The Royal London Hospital.

Warning – this video contains about 3 minutes of graphic images of robotic pouch surgery as indicated on time line below. There is also a warning in the video if you prefer to bypass this content.

TIMESTAMPS
00:00:00 Introduction
00:01:21 Guy Worley
00:22:53 Robotic Surgery (graphic surgery images)
00:25:05 End of graphic robotic surgery
00:37:46 Q&A


Clemmie Oliver – Nutritional advice for pouch patients


A unique opportunity to hear from a specialist IDB nutritionist who can speak from both personal experience as well as clinical experience.
Specialist IBD Nutritionist Clemmie Oliver looks at how diet and lifestyle can support recovery from pouch surgery and how it is pivotal to our ongoing health with a pouch. Clemmie who had UC aged 9 and has an ileo-pouch herself founded and runs The Nutrition and Lifestyle Medical Clinic (NALM). She is a passionate advocate of helping pouchees cope with food issues and nutrition needs. This webcast took place on behalf of the Red Lion Group on 23 July 2025 to a large audience on zoom and live streamed on YouTube. Clemmie’s talk was followed by a Q&A session in which she addressed many issues relevant to pouchees (and ostomates).

If you wish to contact Clemmi Oliver or the Nutrition and Lifestyle Medicine Clinic (NALM) you can find contact details below.

Clemmie Oliver (née Macpherson)
Registered Associate Nutritionist (MSc, ANutr)
Registered Nutritional Therapist (Dip ION, mBANT, CNHC)

Nutrition and Lifestyle Medicine Clinic Ltd.
W: www.nalmclinic.com
E: clemmie@nalmclinic.com
T: +447729042218

Maintaining kidney health with an ileostomy or internal pouch

Patients that have undergone surgery to create an ileostomy or internal pouch (e.g. J pouch) may be susceptible to kidney problems in particular AKI (acute kidney injury). This is more likely in the event of a high-output stoma or pouch (typically greater than 1500 ml/ 24 hour period.

The following document is reproduced from the ia (Ileostomy and internal pouch Association) website. All copyrights acknowledged.


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