Pouchitis — RACP Adult Medicine MCQ

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ModerateGastroenterology & HepatologyPouchitisRACP Adult Medicine

A 40-year-old man with UC post-IPAA develops bloody diarrhoea 12 months later. Endoscopy shows pouch inflammation. Most likely complication?

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Correct answer: E — Pouchitis

Pouchitis: most common complication post-IPAA (~50%). First-line: metronidazole or ciprofloxacin 14 days.

Reference: eTG – 2025; ECCO – 2022