Abstract
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the gold standard surgical procedure for familial adenomatous polyposis, refractory ulcerative colitis or colitis-associated dysplasia. Several pouch disorders and complications are associated with this procedure. Floppy pouch complex (FPC) consists of pouch prolapse, afferent limb syndrome, enterocele, redundant loop, and folding pouch on pouchoscopy or contrasted pouchogram. Common clinical manifestations include nausea, bloating, dyschezia, abdominal pain, excessive straining, or the feeling of incomplete evacuation. Each disorder of the complex may have characteristic endoscopic and radiographic findings. Medical and surgical management of FPC has been challenging On the other hand, several therapeutic options are available. Attempts have been made to identify the risk factors associated with FPC for their prevention and diagnosis.
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