European Crohn's and Colitis Organisation
ECCO Topical Review on Pouch Disorders
Abstract
Pouch disorders are common and may present with symptoms of increased stool frequency, urgency, incontinence, pelvic cramping, obstructed defecation, and perianal drainage, which can result in poor sleep, fatigue, and disability. This topical review aims to offer expert consensus practice recommendations for the diagnosis and management of the most common inflammatory, functional, structural, and neoplastic J-pouch disorders.
A multidisciplinary panel of gastroenterologists and colorectal surgeons performed a systematic review of the relevant literature on pouch disorders and developed current practice positions.
Seventeen current practice positions were developed on the diagnosis and management of inflammatory, functional, structural, and neoplastic pouch disorders.
A multidisciplinary approach is essential for the diagnosis and management of pouch disorders.
Source and rights
Published by Journal of Crohn's & colitis, 2025. The guideline itself is at the source linked here.
Prognia summarises this guideline for reference and education. It is not medical advice. Always check the official guideline and current local protocols before acting on it.
At a glance
- Organisation
- European Crohn's and Colitis Organisation
- Published
- 2025
- Applies to
- 🇪🇺 Europe
- Scope
- Regional
- Journal
- Journal of Crohn's & colitis









