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DOI:10.2214/AJR.05.0870
AJR 2006; 187:W594-W603
© American Roentgen Ray Society


Pictorial Essay

Pouchography, CT, and MRI Features of Ileal J Pouch-Anal Anastomosis

Michel D. Crema1, Delphine Richarme1, Louisa Azizi1, Christine C. Hoeffel1, Jean-Michel Tubiana1 and Lionel Arrivé1

1 All authors: Department of Radiology, Saint-Antoine Hospital, 184 rue du faubourg Saint-Antoine, Paris, France 75012.

OBJECTIVE. Our objective is to describe pouchography, CT, and MRI features of the J-shaped pouch, both normal and with pouch-related complications.

CONCLUSION. Pouchography is performed before closure of the loop ileostomy to assess the integrity of the ileal pouch and anastomosis. CT and MRI can be performed when postoperative complications, such as small-bowel obstruction, pouchitis, leakage, abscess, intramural hematoma, desmoid tumor, or recurrent Crohn's disease, are suspected.

Keywords: abdominal imaging • colon • CT imaging • gastrointestinal radiology • inflammatory bowel disease • pouch-anal anastomosis


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