Solitary J-pouch ulcer causing pouchitis-like syndrome

Dido Franceschi, Peter F. Chen, Jen Nan Yuh

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


A 37-year-old man with familial polyposis coli who had undergone restorative proctocolectomy with a J-pouch as an ileal reservoir developed a solitary mucosal ulcer in the reservoir, causing a pouchitis-like syndrome. There was no endoscopic evidence of further inflammatory changes of the mucosa. The ulcer healed and symptoms subsided after six weeks of therapy with metronidazole followed by tetracycline. Possible causal and pathogenic factors are considered and discussed. Association of this patient's lesion with the nonspecific mucosal inflammatory process described in pouchitis is suggested by similar clinical manifestations and outcome.

Original languageEnglish (US)
Pages (from-to)515-517
Number of pages3
JournalDiseases of the Colon & Rectum
Issue number8
StatePublished - Aug 1 1986
Externally publishedYes


  • Complication(s)
  • Ileal reservoirs
  • Ileoanal anastomosis
  • Pouchitis
  • Ulceration

ASJC Scopus subject areas

  • Gastroenterology


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