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Portal Vein Thrombi After Ileal Pouch-Anal Anastomosis: Its Incidence and Association with Pouchitis

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Abstract

Purpose

Portal vein thrombi (PVT) have recently been linked to ileal pouch-anal anastomosis (IPAA). We assessed the rate of PVT in patients who underwent IPAA and attempted to identify the associated features.

Methods

We reviewed all patients who underwent IPAA at our hospital between 1997 and 2002, noting demographic, operative, and clinical data. Computed tomography (CT) scans were independently re-reviewed by two radiologists blinded to patient data. Scans were designated as positive, negative, or indeterminate for PVT.

Results

A total of 112 patients underwent IPAA for ulcerative colitis, 28 (25%) of whom had a CT scan done within 8 weeks postoperatively. The indications for CT included prolonged ileus (32.1%), abdominal pain (28.6%), and fever (17.9%). On examining the CT scans, 39% were positive, 14% were indeterminate, and 46% were negative for PVT. There was no association between PVT and pelvic sepsis. Within a mean follow-up of 36.2 months, 15.4% patients without PVT had suffered pouchitis compared with 25% of those with indeterminate scans and 45.5% of those with PVT.

Conclusions

Portal vein thrombi are a common finding in the subset of patients who require a CT scan after IPAA. Patients who suffer PVT have a higher incidence of postoperative pouchitis. Thus a prospective evaluation of the risk of PVT and its association with pouchitis is warranted.

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References

  1. AG Parks RJ Nicholls (1978) ArticleTitleProctocolectomy without ileostomy for ulcerative colitis Br Med J 2 85–8 Occurrence Handle667572 Occurrence Handle1:STN:280:DyaE1c3ht1amsA%3D%3D

    PubMed  CAS  Google Scholar 

  2. J Utsunomiya T Iwama M Imajo S Matsuo S Sawai K Yaegashi et al. (1980) ArticleTitleTotal colectomy, mucosal proctectomy, and ileoanal anastomosis Dis Colon Rectum 23 459–66 Occurrence Handle6777128 Occurrence Handle1:STN:280:DyaL3M%2Fms1aisg%3D%3D Occurrence Handle10.1007/BF02987076

    Article  PubMed  CAS  Google Scholar 

  3. RJ Heald DR Allen (1986) ArticleTitleStapled ileo-anal anastomosis: a technique to avoid mucosal proctectomy in the ileal pouch operation Br J Surg 73 571–2 Occurrence Handle3730791 Occurrence Handle10.1002/bjs.1800730719 Occurrence Handle1:STN:280:DyaL283ntVyjuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  4. WA Kmiot MR Keighley (1989) ArticleTitleTotally stapled abdominal restorative proctocolectomy Br J Surg 76 961–4 Occurrence Handle2804600 Occurrence Handle10.1002/bjs.1800760931 Occurrence Handle1:STN:280:DyaK3c%2FivFelsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  5. Y Ziv VW Fazio JM Church IC Lavery TM King P Ambrosetti (1996) ArticleTitleStapled ileal pouch anal anastomoses are safer than handsewn anastomoses in patients with ulcerative colitis Am J Surg 171 320–3 Occurrence Handle8615465 Occurrence Handle10.1016/S0002-9610(97)89634-1 Occurrence Handle1:STN:280:DyaK287pvFaktA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. VW Fazio Y Ziv JM Church JR Oakley IC Lavery JW Milson et al. (1995) ArticleTitleIleal pouch-anal anastomoses complications and function in 1005 patients Ann Surg 222 120–7 Occurrence Handle7639579 Occurrence Handle10.1097/00000658-199508000-00003 Occurrence Handle1:STN:280:DyaK2Mzms1yiuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  7. AR MacLean Z Cohen HM MacRae BI O’Connor D Mukraj ED Kennedy et al. (2002) ArticleTitleRisk of small bowel obstruction after the ileal pouch-anal anastomosis Ann Surg 235 200–6 Occurrence Handle11807359 Occurrence Handle10.1097/00000658-200202000-00007

    Article  PubMed  Google Scholar 

  8. AP Meagher R Farouk RR Dozois KA Kelly JH Pemberton (1998) ArticleTitleJ ileal pouch-anal anastomosis for chronic ulcerative colitis: complications and long-term outcome in 1310 patients Br J Surg 85 800–3 Occurrence Handle9667712 Occurrence Handle10.1046/j.1365-2168.1998.00689.x Occurrence Handle1:STN:280:DyaK1czjtVartA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  9. D Stahlberg K Gullberg L Liljeqvist G Hellers R Lofberg (1996) ArticleTitlePouchitis following pelvic pouch operation for ulcerative colitis: incidence, cumulative risk, and risk factors Dis Colon Rectum 39 1012–8 Occurrence Handle8797652 Occurrence Handle10.1007/BF02054692 Occurrence Handle1:STN:280:DyaK28zptVKkuw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  10. UA Heuschen F Austchbach EH Allemeyer AM Zollinger G Heuschen T Uehlein et al. (2001) ArticleTitleLong-term follow-up after ileoanal pouch procedure: algorithm for diagnosis, classification, and management of pouchitis Dis Colon Rectum 44 487–99 Occurrence Handle11330575 Occurrence Handle10.1007/BF02234320 Occurrence Handle1:STN:280:DC%2BD3M3jvVGgsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  11. RD Hurst M Molinari TP Chung M Rubin F Michelassi (1996) ArticleTitleProspective study of the incidence, timing and treatment of pouchitis in 104 consecutive patients after restorative proctocolectomy Arch Surg 131 497–500 Occurrence Handle8624195 Occurrence Handle1:STN:280:DyaK283gvV2qug%3D%3D

    PubMed  CAS  Google Scholar 

  12. TE Madiba DC Bartolo (2001) ArticleTitlePouchitis following restorative proctocolectomy for ulcerative colitis: incidence and therapeutic outcome J R Coll Surg Edinb 46 334–7 Occurrence Handle11768572 Occurrence Handle1:STN:280:DC%2BD38%2Fkt1Snsw%3D%3D

    PubMed  CAS  Google Scholar 

  13. M Mignon C Stettler SF Phillips (1995) ArticleTitlePouchitis: a poorly understood entity Dis Colon Rectum 38 100–3 Occurrence Handle7813336 Occurrence Handle10.1007/BF02053868 Occurrence Handle1:STN:280:DyaK2M7ht1Krtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. RL Moskowitz NA Shepherd RJ Nicholls (1986) ArticleTitleAn assessment of inflammation in the reservoir after restorative proctocolectomy with ileoanal ileal reservoir Int J Colorectal Dis 1 167–74 Occurrence Handle3039030 Occurrence Handle10.1007/BF01648445 Occurrence Handle1:STN:280:DyaL2s3ot1Sgug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  15. JL Lohmuller JH Pemberton RR Dozois D Ilstrup J van Heerden (1990) ArticleTitlePouchitis and extraintestinal manifestations of inflammatory bowel disease after ileal pouch-anal anastomosis Ann Surg 211 622–7 Occurrence Handle2339922 Occurrence Handle1:STN:280:DyaK3c3ltlanuw%3D%3D

    PubMed  CAS  Google Scholar 

  16. VW Fazio PP Tekkis F Remzi IC Lavery E Manilich J Connor et al. (2003) ArticleTitleQuantification of risk for pouch failure after ileal pouch anal anastomosis surgery Ann Surg 238 605–14 Occurrence Handle14530732

    PubMed  Google Scholar 

  17. EJ Simchuk RC Thirlby (2000) ArticleTitleRisk factors and true incidence of pouchitis in patients after ileal pouch-anal anastomoses World J Surg 24 851–6 Occurrence Handle10833254 Occurrence Handle10.1007/s002680010136 Occurrence Handle1:STN:280:DC%2BD3c3ptlCqtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  18. SA Seidel SE Peach M Newman KW Sharp (1999) ArticleTitleIleoanal pouch procedures: clinical outcomes and quality-of-life assessment Am Surg 65 40–6 Occurrence Handle9915530 Occurrence Handle1:STN:280:DyaK1M7ht1OgtA%3D%3D

    PubMed  CAS  Google Scholar 

  19. U Keranen P Luukkonen H Jarvinen (1997) ArticleTitleFunctional results after restorative proctocolectomy complicated by pouchitis Dis Colon Rectum 40 764–9 Occurrence Handle9221849 Occurrence Handle10.1007/BF02055429 Occurrence Handle1:STN:280:DyaK2szmsV2jsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  20. A Lepisto P Luukkonen HJ Jarvinen (2002) ArticleTitleCumulative failure rate of ileal pouch-anal anastomosis and quality of life after failure Dis Colon Rectum 45 1289–94 Occurrence Handle12394424 Occurrence Handle10.1007/s10350-004-6412-9

    Article  PubMed  Google Scholar 

  21. NS Goldstein WW Sanford JH Bodzin (1997) ArticleTitleCrohn's-like complications in patients with ulcerative colitis after total proctocolectomy and ileal pouch-anal anastomosis Am J Surg Pathol 21 1343–53 Occurrence Handle9351572 Occurrence Handle10.1097/00000478-199711000-00009 Occurrence Handle1:STN:280:DyaK1c%2FhtF2gtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  22. KO Shebani AF Stucchi JP McClung ER Beer WW LaMorte JM Becker (2000) ArticleTitleRole of stasis and oxidative stress in ileal pouch inflammation J Surg Res 90 67–75 Occurrence Handle10781377 Occurrence Handle10.1006/jsre.2000.5842 Occurrence Handle1:CAS:528:DC%2BD3c**s1Oqsrk%3D

    Article  PubMed  CAS  Google Scholar 

  23. RS McLeod D Antonioli J Cullen A Dvorak A Onderdonk W Silen et al. (1994) ArticleTitleHistologic and microbiologic features of biopsy samples from patients with normal and inflamed pouches Dis Colon Rectum 37 26–31 Occurrence Handle8287743 Occurrence Handle10.1007/BF02047210 Occurrence Handle1:STN:280:DyaK2c7hs1ertw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  24. RT Patel I Bain D Youngs MR Keighley (1995) ArticleTitleCytokine production in pouchitis is similar to that in ulcerative colitis Dis Colon Rectum 38 831–7 Occurrence Handle7634977 Occurrence Handle10.1007/BF02049839 Occurrence Handle1:STN:280:DyaK2MzmtFKrsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  25. WG Teixeira JH da Silva MG Teixeira M Almeida JE Calache A Habr-Gama (1999) ArticleTitlePouchitis: extracolonic manifestation of ulcerative colitis? Rev Hosp Clin Fac Med Sao Paulo 54 155–8 Occurrence Handle10788837 Occurrence Handle1:STN:280:DC%2BD3c3ltFahsA%3D%3D

    PubMed  CAS  Google Scholar 

  26. AJ Wakefield AM Sawyerr AP Dhillon AM Pittilo PM Rowles AA Lewis et al. (1989) ArticleTitlePathogenesis of Crohn's disease: multifocal gastrointestinal infarction Lancet 2 1057–62 Occurrence Handle2572794 Occurrence Handle10.1016/S0140-6736(89)91078-7 Occurrence Handle1:STN:280:DyaK3c%2Fkt1Olsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  27. M Hudson C Piasecki EA Sankey R Sim AJ Wakefield LJ More et al. (1992) ArticleTitleA ferret model of acute multifocal gastrointestinal infarction Gastroenterologica 102 1591–6 Occurrence Handle1:STN:280:DyaK383jsVWitA%3D%3D

    CAS  Google Scholar 

  28. RE Pounder (1994) ArticleTitleThe pathogenesis of Crohn's disease J Gastroenterol 29 IssueIDSuppl 7 11–5 Occurrence Handle7921140

    PubMed  Google Scholar 

  29. P Kienle J Weitz J Reinshagen A Magener F Autschbach A Benner et al. (2001) ArticleTitleAssociation of decreased perfusion of the ileoanal pouch mucosa with early postoperative pouchitis and local septic complications Arch Surg 136 1124–30 Occurrence Handle11585503 Occurrence Handle10.1001/archsurg.136.10.1124 Occurrence Handle1:STN:280:DC%2BD3MrlvFWitA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  30. V Graef AH Baggenstoss WG Saver JA Spitell (1966) ArticleTitleVenous thrombosis occurring in non specific ulcerative colitis. A necropsy study Arch Int Med 117 377–82

    Google Scholar 

  31. CN Bernstein JF Blanchard DS Houston A Wajda (2001) ArticleTitleThe incidence of deep venous thrombosis and pulmonary embolism among patients with inflammatory bowel disease: a population-based cohort study Thromb Haemo 85 430–4 Occurrence Handle1:CAS:528:DC%2BD3M**s1yhsLc%3D

    CAS  Google Scholar 

  32. M Schapira J Henrion C Ravoet JM Maisin JM Ghilain S De Maeght et al. (1999) ArticleTitleThromboembolism in inflammatory bowel disease Acta Gastroenterol Belg 62 182–6 Occurrence Handle10427779 Occurrence Handle1:STN:280:DyaK1Mzls1OrtA%3D%3D

    PubMed  CAS  Google Scholar 

  33. IE Koutroubakis (2000) ArticleTitleRole of thrombotic vascular risk factors in inflammatory bowel disease Digestive Dis 18 161–7 Occurrence Handle10.1159/000051389 Occurrence Handle1:STN:280:DC%2BD3M7ovFygtQ%3D%3D

    Article  CAS  Google Scholar 

  34. AR Aronson FU Steinheber (1971) ArticleTitlePortal vein thrombosis in ulcerative colitis N Y State J Med 71 2310–1 Occurrence Handle5285846 Occurrence Handle1:STN:280:DyaE38%2FgtlKhsA%3D%3D

    PubMed  CAS  Google Scholar 

  35. DE Brinberg TB Stefansson FA Greicius SS Kahlam C Molin (1991) ArticleTitlePortal vein thrombosis in Crohn's disease Gastrointestinal Radiol 16 245–7 Occurrence Handle10.1007/BF01887357 Occurrence Handle1:STN:280:DyaK3MzkvVCntQ%3D%3D

    Article  CAS  Google Scholar 

  36. RL Edwards JB Levine R Green M Duffy E Mathews W Brande et al. (1987) ArticleTitleActivation of blood coagulation in Crohn's disease: increased plasma fibrinopeptide A levels and enhanced generation of monocyte tissue factor activity Gastroenterologica 92 329–37 Occurrence Handle1:STN:280:DyaL2s%2FotFaktg%3D%3D

    CAS  Google Scholar 

  37. M Hudson A Chitolie RA Hutton MS Smith RE Pounder AJ Wakefield (1996) ArticleTitleThrombotic vascular risk factors in inflammatory bowel disease Gut 38 733–7 Occurrence Handle8707120 Occurrence Handle1:STN:280:DyaK28zjsV2ltw%3D%3D

    PubMed  CAS  Google Scholar 

  38. A Lam IT Borda MJ Inwood S Thomson (1975) ArticleTitleCoagulation studies in ulcerative colitis and Crohn's disease Gastroenterologica 68 245–51 Occurrence Handle1:STN:280:DyaE2M7htlCjsw%3D%3D

    CAS  Google Scholar 

  39. FH Remzi VW Fazio M Oncel ME Baker JM Church BS Ooi et al. (2002) ArticleTitlePortal vein thrombi after restorative proctocolectomy Surgery 132 655–61 Occurrence Handle12407350 Occurrence Handle10.1067/msy.2002.127689

    Article  PubMed  Google Scholar 

  40. LM Farkas RL Nelson H Abcarian (2000) ArticleTitleA case of portal venous system thrombosis in ulcerative colitis J Am Col Surg 190 94 Occurrence Handle10.1016/S1072-7515(99)00236-7 Occurrence Handle1:STN:280:DC%2BD3c%2FovVGktQ%3D%3D

    Article  CAS  Google Scholar 

  41. WJ Sandborn WJ Tremaine KP Batts JH Pemberton SF Phillips (1994) ArticleTitlePouchitis after ileal pouch-anal anastamosis: a Pouchitis disease activity index Mayo Clin Proc 69 409–15 Occurrence Handle8170189 Occurrence Handle1:STN:280:DyaK2c3itl2gug%3D%3D

    PubMed  CAS  Google Scholar 

  42. ME Baker F Remzi D Einstein M Oncel B Herts E Remer et al. (2003) ArticleTitleCT depiction of portal vein thrombi after creation of ileal pouch-anal anastomosis Radiology 227 73–9 Occurrence Handle12616004 Occurrence Handle10.1148/radiol.2271020032

    Article  PubMed  Google Scholar 

  43. S Kumar MG Sarr PS Kamath (2001) ArticleTitleMesenteric venous thrombosis N Engl J Med 345 1683–8 Occurrence Handle11759648 Occurrence Handle10.1056/NEJMra010076 Occurrence Handle1:STN:280:DC%2BD38%2FivFOhsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  44. DC Valla B Condat (2000) ArticleTitlePortal vein thrombosis in adults: pathophysiology, pathogenesis and management J Hepatol 32 865–71 Occurrence Handle10845677 Occurrence Handle10.1016/S0168-8278(00)80259-7 Occurrence Handle1:STN:280:DC%2BD3cvnt12mtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  45. CL Sheen H Lamparelli A Milne I Green JK Ramage (2000) ArticleTitleClinical features, diagnosis and outcome of acute portal vein thrombosis Quart J Med 92 531–4

    Google Scholar 

  46. JM Henderson GT Gilmore GJ MacKay JR Galloway TF Dodson MH Kutner (1992) ArticleTitleHemodynamics during liver transplantation: the interactions between cardiac output and portal venous and hepatic arterial flows Hepatology 16 715–8 Occurrence Handle1505914 Occurrence Handle10.1002/hep.1840160316 Occurrence Handle1:STN:280:DyaK38zntF2nug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  47. A Sobhonslidsuk KR Reddy (2002) ArticleTitlePortal vein thrombosis: a concise review Am J Gastroenterol 97 535–41 Occurrence Handle11922544 Occurrence Handle10.1111/j.1572-0241.2002.05527.x

    Article  PubMed  Google Scholar 

  48. J Cohen RR Edelman S Chopra (1992) ArticleTitlePortal vein thrombosis: a review Am J Med 92 173–82 Occurrence Handle1543202 Occurrence Handle10.1016/0002-9343(92)90109-O Occurrence Handle1:STN:280:DyaK387otVyqsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  49. DM Warshauer JK Lee MA Mauro GC White (2001) ArticleTitleSuperior mesenteric vein thrombosis with radiologically occult cause: a retrospective study of 43 cases AJR Am J Roentgenol 177 837–41 Occurrence Handle11566684 Occurrence Handle1:STN:280:DC%2BD3MrjtFWmtw%3D%3D

    PubMed  CAS  Google Scholar 

  50. A Eguchi M Hashizume S Kitano K Tanoue H Wada K Sugimachi (1991) ArticleTitleHigh rate of portal thrombosis after splenectomy in patients with esophageal varices and idiopathic portal hypertension Arch Surg 126 752–5 Occurrence Handle2039363 Occurrence Handle1:STN:280:DyaK3M3ksl2rtw%3D%3D

    PubMed  CAS  Google Scholar 

  51. RW Talbot J Heppell RR Dozois RW Beart SuffixJr (1986) ArticleTitleVascular complications of inflammatory bowel disease Mayo Clin Proc 61 140–5 Occurrence Handle3080643 Occurrence Handle1:STN:280:DyaL287hslSmsw%3D%3D

    PubMed  CAS  Google Scholar 

  52. M Vecchi M Cattaneo R de Franchis PM Mannucci (1991) ArticleTitleRisk of thromboembolic complications in patients with inflammatory bowel disease: study of hemostasis measurements Int J Clin Lab Res 21 165–70 Occurrence Handle1815761 Occurrence Handle10.1007/BF02591637 Occurrence Handle1:STN:280:DyaK383ntlOlsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  53. MJ Webberley MT Hart V Melikian (1993) ArticleTitleThromboembolism in inflammatory bowel disease: role of platelets Gut 34 247–51 Occurrence Handle8432482 Occurrence Handle1:STN:280:DyaK3s7mt1Gnsg%3D%3D

    PubMed  CAS  Google Scholar 

  54. LG Zavgorodnii AP Mustiats (1982) ArticleTitleUse of anticoagulants in the combined treatment of nonspecific ulcerative colitis Klin Med (Mosk) 60 74–80 Occurrence Handle1:STN:280:DyaL3s%2FhtFajtg%3D%3D

    CAS  Google Scholar 

  55. C Folwaczny B Wiebecke K Loeschke (1999) ArticleTitleUnfractioned heparin in the therapy of patients with highly active inflammatory bowel disease Am J Gastroenterol 94 1551–5 Occurrence Handle10364024 Occurrence Handle10.1111/j.1572-0241.1999.01143.x Occurrence Handle1:STN:280:DyaK1M3ptVKqsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  56. JR Korzenik ME Robert A Bitton M Robinson FJ Scherl (1999) ArticleTitleA multi-center, randomized, controlled trial of heparin for the treatment of ulcerative colitis Gastroenterologica 166 A752

    Google Scholar 

  57. AA Vrij JM Jansen EJ Schoon A de Bruine HC Hemker RW Strockbrugger (2001) ArticleTitleLow molecular weight heparin treatment in steroid refractory ulcerative colitis: clinical outcome and influence on mucosal capillary thrombi Scand J Gastroenterol Suppl 234 41–7 Occurrence Handle11768560 Occurrence Handle10.1080/003655201753265091

    Article  PubMed  Google Scholar 

  58. B Condat F Pessione S Hillaire MH Denninger MC Guillin M Poliquin et al. (2001) ArticleTitleCurrent outcome of portal vein thrombosis in adults: risk and benefit of anticoagulant therapy Gastroenterologica 120 490–7 Occurrence Handle10.1053/gast.2001.21209 Occurrence Handle1:STN:280:DC%2BD3M7otVKnsw%3D%3D

    Article  CAS  Google Scholar 

  59. SL Novick EK Fishman (1998) ArticleTitlePortal vein thrombosis: spectrum of helical CT and CT angiographic findings Abdom Imaging 23 505–10 Occurrence Handle9841064 Occurrence Handle10.1007/s002619900388 Occurrence Handle1:STN:280:DyaK1czpslSrtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  60. CS Marn IR Francis (1992) ArticleTitleCT of portal venous occlusion Am J Roentgenol 159 717–26 Occurrence Handle1:STN:280:DyaK38vhtFSmug%3D%3D

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Foothills Medical Centre, University of Calgary, 1403-29 Street N.W., Calgary, AB, T2N 2T9, Canada

    Chad G. Ball, Anthony R. MacLean & W. Donald Buie

  2. Department of Diagnostic Imaging, Foothills Medical Centre, University of Calgary, 1403-29 Street N.W., Calgary, AB, T2N 2T9, Canada

    Dean F. Smith & Earl L. Raber

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  1. Chad G. Ball
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  2. Anthony R. MacLean
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Correspondence to Anthony R. MacLean.

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This article is based on a paper that was presented in orally at the Canadian Association of General Surgeons Forum on September 11, 2004, in Ottawa, Canada.

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Ball, C., MacLean, A., Buie, W. et al. Portal Vein Thrombi After Ileal Pouch-Anal Anastomosis: Its Incidence and Association with Pouchitis. Surg Today 37, 552–557 (2007). https://doi.org/10.1007/s00595-006-3470-8

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