Overview

Pouchitis is inflammation that occurs in the lining of a pouch created during surgery to treat ulcerative colitis or certain other diseases. Many people with ulcerative colitis need to have their diseased colon removed and the bowel reconnected with a procedure called ileoanal anastomosis (J-pouch) surgery.

In J-pouch surgery, surgeons use the end of the small intestine (ileum) to create a pouch shaped like the letter J. The pouch is attached internally to the area just above the anus to hold waste before it's eliminated.

Pouchitis is a complication of J-pouch surgery. It occurs in about one-quarter to nearly one-half of the people who have the procedure.

Symptoms

Signs and symptoms of pouchitis can include diarrhea, abdominal pain, joint pain, cramps and fever. Other signs and symptoms include an increased number of bowel movements, nighttime stool leakage, difficulty controlling bowel movements and a strong urge to have a bowel movement.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.

Pouchitis care at Mayo Clinic

June 11, 2022

Living with pouchitis?

Connect with others like you for support and answers to your questions in the Ostomy support group on Mayo Clinic Connect, a patient community.

Ostomy Discussions

iamthekat
Ileostomy reversal coming up - what will be my new normal?

59 Replies Tue, May 14, 2024

barbwith3cats
Colostomy reversal: What can I expect? Recovery time?

12 Replies Wed, May 08, 2024

a009507
Fibroma on top of stoma: Should it be removed?

10 Replies Sun, May 05, 2024

See more discussions
  1. Sedano R, et al. Diagnostic and management approach to pouchitis in inflammatory bowel disease. Arquivos de Gastroenterologia. 2019; doi:10.1590/S0004-2803.202000000-17.
  2. Shen B. Pouchitis: Epidemiology, clinical manifestations, and diagnosis. https://www.uptodate.com/contents/search. Accessed Sept. 4, 2020.
  3. Brown AY. AllScripts EPSi. Mayo Clinic. Sept. 4, 2020.

Related

Products & Services