Evidence map›Paper›PMID 42824473›Full record

ArticleGastro hep advances2026

Endoscopic Evaluation and Management of Diversion Pouchitis and Strictures: In Comparison With Strictures in Nondiverted Pouches.

Yuanyuan Ge, Ellen L Scherl, Dana J Lukin, Joseph Picoraro, Marco Bertucci Zoccali, Le-Chu Su, Usama Ahmed Ali, Debbie Bakes, Ravi P Kiran, James M Church and 1 more

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Article in Gastro hep advances, 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yuanyuan GeCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
Ellen L ScherlJill Roberts Center for Inflammatory Bowel Disease, Gastroenterology and Hepatology, Department of Medicine, New York Presbyterian/Weill Cornell Medical Center, New York, New York.
Dana J LukinJill Roberts Center for Inflammatory Bowel Disease, Gastroenterology and Hepatology, Department of Medicine, New York Presbyterian/Weill Cornell Medical Center, New York, New York.
Joseph PicoraroDivision of Pediatric Gastroenterology, Columbia University Irving Medical Center/Morgan Stanley Hospital of New York Presbyterian Hospital, New York, New York.
Marco Bertucci ZoccaliCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
Le-Chu SuCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
Usama Ahmed AliCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
Debbie BakesCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
Ravi P KiranCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
James M ChurchCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.
Bo ShenCenter of Inflammatory Bowel Disease, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Postoperative complications after ileal pouch-anal anastomosis are common and may lead to pouch failure requiring long-standing fecal diversion. Patients with diverted pouches can develop diversion pouchitis and strictures; however, the endoscopic features and management of these conditions remain poorly characterized. Methods: This historical case-controlled study included 54 consecutive inflammatory bowel disease patients with ileal pouch-anal anastomosis who underwent endoscopic evaluation and stricturotomy for distal pouch or anastomotic strictures from January 2020 to February 2026. Twelve consecutive patients with diverted pouch strictures were compared with 42 nondiverted controls. Outcomes included pouchitis frequency, stricture characteristics, technical success, endoscopic reintervention, surgery-free survival, and adverse events. Kaplan-Meier and Cox regression analyses were used for survival end points. Results: Among diverted patients, 75% (N = 9) had concurrent diversion pouchitis. Strictures in diverted pouches were uniformly severe (100% vs 7.1%, Conclusion: Most diverted pouch patients had concurrent diversion pouchitis with more severe and longer strictures. Despite these differences, endoscopic stricturotomy was feasible and safe with comparable outcomes to nondiverted pouch strictures.

Indexed as

Diverted PouchitisIleal PouchStrictureStricturotomyUlcerative Colitis

Identifiers

PMID42824473
PMCPMC13628246

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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.