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© 1994 British Society for Rheumatology

research-article

IS THE CONSTRUCTION OF AN ILEOANAL POUCH ASSOCIATED WITH THE DEVELOPMENT OF ARTHRITIS?

M. NAUGHTON*, H. YOUNG{dagger}, L. HUGHES{dagger} and B. D. WILLIAMS*

*Departments of Rheumatology, University Hospital of Wales Cardiff
{dagger}Departments of Surgery, University Hospital of Wales Cardiff

Correspondence to: M. Naughton, Rheumatology Unit, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, London W12 ONN.

The construction of an ileoanal pouch in patients who have undergone total colectomy for ulcerative colitis is claimed to be associated with the development of arthritis. The pattern and prevalence of reported musculoskeletal symptoms in the 15 patients with ileoanal pouches attending our hospital was not significantly different to a control group of 60 patients with an ileostomy for inflammatory bowel disease. There was no clinical or serological evidence of arthritis in the eight patients from the study group reporting symptoms. We conclude that the majority of symptoms occurring following pouch construction are not attributable to an inflammatory arthropathy.

KEY WORDS: Arthritis, Ileoanal pouch


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