ArticleACG case reports journal2026
Endoscopic Management of Pouch Volvulus as a Complication of Ileal Pouch Anal Anastomosis in Patients With Ulcerative Colitis.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
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Abstract
Pouch volvulus is a rare but potentially morbid complication after total proctocolectomy with ileal pouch anal anastomosis, typically managed surgically. Evidence for definitive endoscopic therapy is limited. We report 2 patients with ulcerative colitis who developed pouch volvulus after ileal pouch anal anastomosis and were poor surgical candidates due to medical complexity. Both underwent successful endoscopic detorsion; 1 required adjunctive endoscopic decompression with temporary tube placement. Symptoms resolved without ischemia, and no recurrence occurred through 6 months of follow-up. These cases suggest endoscopic detorsion can be a safe, diagnostic, and definitive management option for complex patients with viable pouch mucosa.
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