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When I first got megapouch in 2014, there wasn’t much on it. I think I found one poster presentation buried in some conference proceedings.

Now there’s a good paper by Preeti Shashi and Bo Shen. (And if you want to know what megapouch is, read this paper!)

But it’s a rare complication, less than 1%, so no need to worry too much about it. And it tends not to show up until ten years in.

Here is a list of all I’ve found as of July 2023 that I hope will save people a little searching. Try Sci-Hub to get full versions of papers.

Characterization of megapouch in patients with restorative proctocolectomy

https://pubmed.ncbi.nlm.nih.gov/30327916/

Classification of surgical causes of and approaches to the chronically failing ileoanal pouch

https://pubmed.ncbi.nlm.nih.gov/36040574/

When pouches cannot empty: a cohort study of the symptoms this causes, the reasons it's happening, and the treatments needed

https://pubmed.ncbi.nlm.nih.gov/36129429/

Excision of a distended chronic non-functional large ileoanal pouch

https://pubmed.ncbi.nlm.nih.gov/26759445/

(Doesn’t use the term “megapouch” but I believe that is what they are describing)

Incidence and causes of failure in various anatomical pouch designs 20 years after surgical primary ileal-pouch anal anastomosis construction

https://pubmed.ncbi.nlm.nih.gov/36357735/

Redo ileal pouch-anal anastomosis for malfunctioning pouches – acceptable alternative to permanent ileostomy?

https://pubmed.ncbi.nlm.nih.gov/11182418/

Intermittent torsion of a megapouch: report of a case

https://pubmed.ncbi.nlm.nih.gov/17483975/

Tags: Excision, megapouch

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