Nutrition considerations surrounding restorative proctocolectomy

Sara A. Buckman, Charles P. Heise

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


Restorative proctocolectomy with ileal pouch-anal anastomosis has become the surgical treatment of choice for patients with ulcerative colitis and familial polyposis coli syndromes. Pouch construction uses the distal 30-40 cm of ileum, and there exists a potential for postoperative nutrition consequences. These include vitamin B12 deficiency, iron deficiency, bile acid malabsorption, and abnormalities of trace elements, fluids, and electrolytes. Patients who have undergone an ileal pouch-anal anastomosis procedure often describe specific food sensitivities that may require diet alteration, even more so than do patients with permanent ileostomy. There may be roles for postoperative probiotic supplementation in an attempt to decrease the rate of "pouchitis" and appropriate preoperative nutrition support to minimize the risk of perioperative complications.

Original languageEnglish
Pages (from-to)250-256
Number of pages7
JournalNutrition in Clinical Practice
Issue number3
StatePublished - Jun 2010


  • colonic pouches
  • nutrition therapy
  • pouchitis
  • proctocolectomy
  • restorative


Dive into the research topics of 'Nutrition considerations surrounding restorative proctocolectomy'. Together they form a unique fingerprint.

Cite this