Przegląd Gastroenterologiczny

Intestinal pouch in children: indications, techniques, and long-term outcomes

Patrycja Sosnowska-Sienkiewicz 1
,
Marcin Dziekiewicz 2
,
Agnieszka Banaszkiewicz 2

  1. Department of Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland

  2. Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland

Gastroenterology Rev

DOI: https://doi.org/10.5114/pg.2026.165550
Data publikacji online: 2026/10/12
Article file
Intestinal pouch (1).pdf
  2. Ng KS, Gonsalves SJ, Sagar PM. Ileal-anal pouches: a review of their history, indications, and complications. World J Gastroenterol 2019; 25: 4320-42.
  3. Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. Br Med J 1978; 2: 85-8.
  4. Assa A, Aloi M, Van Biervliet S, et al. Management of paediatric ulcerative colitis, part 2: Acute severe colitis-An updated evidence-based consensus guideline from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition and the European Crohn’s and Colitis Organization. J Pediatr Gastroenterol Nutr 2025; 81: 816-51.
  5. Total colectomy: What to expect. Pediatric Surgery. Massachusetts General Hospital for Children. Published 2021. https://www.massgeneral.org/children/colectomy. Accessed: January 1, 2026.
  6. Buhr HJ, Heuschen UA, Stern J, Herfarth C. Technik und Ergebnisse des ileoanalen Pouches nach Proktokolektomie [Technique and results of the ileoanal pouch after proctocolectomy]. Zentralbl Chir 1994; 119: 867-77.
  7. Macdermott RP, Green JA. Refractory ulcerative colitis treatment. Gastroenterol Hepatol (NY) 2007; 3: 64-9.
  8. Rosen MJ, Dhawan A, Saeed SA. Inflammatory bowel disease in children and adolescents. JAMA Pediatr 2015; 169: 1053-60.
  9. Thorson AG, Faria J. Familial adenomatous polyposis, hereditary nonpolyposis colon cancer, and familial risk: what are the implications for the surgeon? Surg Oncol Clin N Am 2000; 9: 683-701.
  10. Gronowska AM, Głuszek S, Bicki J, Matykiewicz J. Colorectal cancer in the course of familial adenomatous polyposis: natural history and treatment methods. Medical Studies 2020; 36: 303-9.
  11. Sarna SK. Colonic Motility: From Bench Side to Bedside. San Rafael, CA: Morgan & Claypool Life Sciences; 2010. Colonic Motility Dysfunction. Available at: https://www.ncbi.nlm.nih.gov/books/NBK53473/. Accessed: January 1, 2026.
  12. Gershon EM, Rodriguez L, Arbizu RA. Hirschsprung’s disease associated enterocolitis: a comprehensive review. World J Clin Pediatr 2023; 12: 68-76.
  13. Hager J, Sergi CM. Surgical techniques for the treatment of Hirschsprung’s disease – a historical systematic review and current status quo. Ann Ital Chir 2025; 96:1592-612.
  14. Connelly TM, Lincango E, Holubar SD. Crohn’s of the pouch: Now what? Clin Colon Rectal Surg 2022; 35: 475-86.
  15. Lopez NE, Zaghyian K, Fleshner P. Is there a role for ileal pouch anal anastomosis in Crohn’s disease? Clin Colon Rectal Surg 2019; 32: 280-90.
  16. Lavryk OA, Stocchi L, Hull TL, et al. Factors associated with long-term quality of life after restorative proctocolectomy with ileal pouch anal anastomosis. J Gastrointest Surg 2019; 23: 571-9.
  17. Connelly TM, Koltun WA. The surgical treatment of inflammatory bowel disease-associated dysplasia. Expert Rev Gastroenterol Hepatol 2013; 7: 307-22.
  18. Heuschen UA, Hinz U, Allemeyer EH, et al. One- or two-stage procedure for restorative proctocolectomy: rationale for a surgical strategy in ulcerative colitis. Ann Surg 2001; 234: 788-94.
  19. Aktaş MK, Gülmez M, Sahar AA, et al. Current status and surgical technique for restorative proctocolectomy with ileal pouch anal anastomosis. Balkan Med J 2023; 40: 236-43.
  20. Aydinli HH, Peirce C, Aytac E, Remzi F. The usefulness of the H-pouch configuration in salvage surgery for failed ileal pouches. Colorectal Dis 2017; 19: e312-5.
  21. McKenna NP, Potter DD, Bews KA, et al. Ileal-pouch anal anastomosis in pediatric NSQIP: Does a laparoscopic approach reduce complications and length of stay? J Pediatr Surg 2019; 54: 112-7.
  22. Dipasquale V, Catena MA, Paiano L, et al. Colectomy and health-related quality of life in children with ulcerative colitis. Minerva Pediatr (Torino) 2024; 76: 1-6.
  23. Eshel Fuhrer A, Kammar H, Herzlich J, Sukhotnik I. Transanal ileal pouch anal anastomosis for ulcerative colitis in children and adults: a systematic review and meta-analysis. Pediatr Surg Int 2022; 38: 1671-80.
  24. Romeo C, Di Fabrizio D, Impellizzeri P, et al. Laparoscopic robotic-assisted restorative proctocolectomy and ileal J-pouch-anorectal anastomosis in children. Pediatr Surg Int 2022; 38: 59-68.
  25. Violante T, Behm KT, Shawki SF, et al. Robotic-assisted reoperative ileal pouch-anal anastomosis: robotic pouch excision and pouch revision. Tech Coloproctol 2024; 28: 43.
  26. Gorgun E, Remzi FH. Complications of ileoanal pouches. Clin Colon Rectal Surg 2004; 17: 43-55.
  27. Burdyński R, Banasiewicz T, Marciniak R, et al. Intestinal pouch complications in patients who underwent restorative proctocolectomy for ulcerative colitis and familial adenomatous polyposis in 1985-2008. Pol Przegl Chir 2011; 83: 161-70.
  28. Martinelli M, Romeo E, Caldaro T, et al. De novo Crohn’s disease in children with ulcerative colitis undergoing ileal pouch-anal anastomosis: a multicenter, retrospective study from the Pediatric IBD Porto Group of the ESPGHAN. Inflamm Bowel Dis 2024; 30: 1475-81.
  29. Ryoo SB, Oh HK, Han EC, et al. Complications after ileal pouch-anal anastomosis in Korean patients with ulcerative colitis. World J Gastroenterol 2014; 20: 7488-96.
  30. Krausz MM, Duek SD. Restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis and familial adenomatous polyposis: twenty years follow-up in 174 patients. Isr Med Assoc J 2005; 7: 23-27.
  31. Kanakaratne S, Hong J, Solomon MJ, Young CJ. Ileal pouch-anal anastomosis provides good functional and quality of life outcomes following proctocolectomy: A 33-year single centre experience. ANZ J Surg 2024; 94: 404-11.
  32. Rubalcava NS, Gadepalli SK, Criss CN, et al. Single-stage restorative proctocolectomy for ulcerative colitis in pediatric patients: a safe alternative. Pediatr Surg Int 2021; 37: 1453-9.
  33. Wong MCY, Rotondi G, Arrigo S, et al. Laparoscopic robotic-assisted restorative proctocolectomy and ileal J-pouch-anorectal anastomosis in children: shifting to a two stage-approach. J Laparoendosc Adv Surg Tech A 2024; 34: 1044-50.
  34. Bergstrøm R, Lo B, Toft E, et al. Incidence and long-term outcomes of pouchitis in ulcerative colitis patients. United European Gastroenterol J 2025; 13: 1765-75.
  35. Zahid A, Kumar S, Koorey D, Young CJ. Pouch adenomas in familial adenomatous polyposis after restorative proctocolectomy. Int J Surg 2015; 13: 133-6.
  36. Coull DB, Tait RC, Anderson JH, et al. Vitamin B12 deficiency following restorative proctocolectomy. Colorectal Dis 2007; 9: 562-6.
  37. Ianco O, Tulchinsky H, Lusthaus M, et al. Diet of patients after pouch surgery may affect pouch inflammation. World J Gastroenterol 2013; 19: 6458-64.
  38. Gold S, Levinson C, Colombel JF, et al. Dietary interventions and supplementation in patients with an ileal pouch-anal anastomosis: a systematic review. Inflamm Bowel Dis 2025; 31: 246-58.
  39. Berndtsson I, Lindholm E, Oresland T, Börjesson L. Long-term outcome after ileal pouch-anal anastomosis: function and health-related quality of life. Dis Colon Rectum 2007; 50: 1545-52.
  40. Zuckerman J, de Buck van Overstraeten A, Melmed GY, et al. Improvement in functional outcomes following ileal pouch-anal anastomosis: results from the United States ileal pouch-anal anastomosis study. Dis Colon Rectum 2025; 68: 1315-26.
  41. Carmon E, Keidar A, Ravid A, et al. The correlation between quality of life and functional outcome in ulcerative colitis patients after proctocolectomy ileal pouch anal anastomosis. Colorectal Dis 2003; 5: 228-32.
  42. Stavlo PL, Libsch KD, Rodeberg DA, Moir CR. Pediatric ileal pouch-anal anastomosis: functional outcomes and quality of life. J Pediatr Surg 2003; 38: 935-9.

Copyright: © 2026 Termedia Sp. z o. o. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
SUBMIT YOUR PAPER
Share
without publication fees
Coverage in
Indexed in
pubmed
Integrated with
integrated with publons
plagiat pl
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications