ArticleiGIE : innovation, investigation and insights2025
Hemorrhagic pouchitis after bowel preparation with sodium phosphate-based enema: a case report.
Article in iGIE : innovation, investigation and insights, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Proper bowel preparation is crucial for endoscopic evaluation and intervention of the ileal pouch; yet, evidence on optimal regimens remains unclear. Although guidelines recommend the polyethylene glycol (PEG) regimens in patients with inflammatory bowel disease, sodium phosphate-based (NaP) enemas often are used for convenience. Although oral NaP has been linked to mucosal injury, similar effects from enemas have not been documented, to our knowledge. We report a case of hemorrhagic pouchitis after an NaP enema use in a patient with Crohn's disease of the pouch who required repeated endoscopic stricturotomy. Endoscopic hemostatic agents were applied and stricture therapy was deferred to avoid further injury. No other prohemorrhagic causes besides NaP enema were identified. One month later, repeat pouchoscopy using PEG preparation showed no signs of active or recent bleeding, and endoscopic stricturotomy was successfully delivered. NaP enema should be used with caution in patients with an ileal pouch, as they can induce mucosal injury or mimic worsening pouchitis, potentially leading to misdiagnosis and inappropriate management.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.