Ist operation

I had 18 k/c/o ulcerrative colitis for 18 years. Then she was operated for Laproscopic IPAA (Ileal pouch anal anastomosis). Her pre operative parameters were normal. She was operated on 05/12/2008 and Laproscopic IPAA was done.Total proctocolectomy done with J pouch of ileum was created and Ileo anal stappled, anastomosis done.

2nd operation:

On admission for second operation her investigations suggestive of Gall Bladder calculi on 06/01/2011 incidentally. She was operated on 22/01/2011. Ileostomy closure with lapraroscopic cholecystectomy was done.


Pouch Exam/ Pouchscopy as on 23/4/2011

Lower 10 cm of pouch
Inflamed and few scattered
Ulcercations S/O Pouchetis
Proximal ileum examined upto 25 cm- Normal

Severe pouchitis with lower 10 cm of pouch(attached to anes) inflameted with few scratted alceration which bleeds also sometime.
medicine going on are_

wysoline _30 mg
mesacol_2000 od
cap becosul_1daily
tab folvite_1daily
cap ato z _1daily
selcal 500mg_1daily
sucralfate syrup _30ml daily.

what if drugs do not respond, is their any advance treatment available. pl advice

Not familiar with all of those meds (perhaps one is a prednisone-type, one a mesalamine?), but mostly pouchitis is treated initially with antibiotics: usually either flagyl or cipro (or both) initially. I'd ask the dr. about this. Hope she gets this addressed soon. Best wishes.