Pouchitis and Ileal Pouch Disorders

Dr. Shen is the head and medical director of the IBD Center at Columbia. He is also the Vice Chair for Innovation in Medicine and Surgery and a Professor of Medicine (in Surgery). He is one of the world’s pre-eminent leaders in interventional inflammatory bowel disease (IBD) due to his specialized expertise in treating a wide range of pouch-related disorders. In addition to pouchitis and pouch diseases, Dr. Shen specializes in IBD, GI endoscopy (including endoscopic pouch procedures), and imaging technology. Dr. Shen is known as a pioneer in interventional treatment for IBD - this includes postponing or eliminating the need for surgery in some cases.

1. General medical therapy for ulcerative colitis
2. Indications and perioperative management for restorative proctocolectomy with the ileal pouch
3. Techniques of colectomy and ileal pouch surgery
4. Factors associated with short- and long-term post-operative complications
5. Stoma, mucus fistula, Hartmann pouch, ileorectal anastomosis, and diverted pouch
6. Ileal pouch for familial adenomatous polyposis
7. Ileal pouch pediatric patients
8. Classification of ileal pouch disorders
9. Genetic factors in the pathogenesis of chronic inflammatory disorders of the pouch
10. Microbiota in pouchitis and de novo Crohn’s disease of the pouch
11. Pathogenesis of pouchitis
12. Risk factors for chronic pouch disorders and pouch failure
13. Adverse metabolic diseases after pouch surgery
14. Diagnosis of pouch disorder: Clinical Evaluation
15. Diagnosis of pouch disorders: Endoscopy
16. Diagnosis of pouch disorders: Histology
17. Disease Index Instruments of Pouchitis, Crohn’s disease of the Pouch and Cuffitis
18. Diagnosis of pouch disorders: Abdominal and pelvic imaging
19. Diagnosis of pouch disorders: Laboratory tests
20. IBD serology in pouch disorders
21. Diagnosis of Crohn’s disease of the pouch
22. Manometry in ileal pouch
23. Extra-intestinal manifestations and concurrent immune-mediated disorders in pouch patients
24. Pouch neoplasia and its surveillance and management
25. Diagnosis and management of cuffitis
26. Diagnosis and management of pouch vaginal fistula
27. Maintenance of a healthy pouch
28. Quality of life in patients with healthy or diseased pouch
29. Medical therapy for pouchitis
30. Medical therapy for Crohn’s disease of the pouch
31. Diagnosis and Management of floppy pouch complex
32. Medical Endoscopic, surgical therapy for ileal pouch strictures
33. Endoscopic therapy for acute and chronic anastomotic leak
34. Endoscopic therapy for fistula and abscess
35. Endoscopic therapy for bleeding, bezoar, and anastomotic abdnormalities
36. Surgical treatment for Crohn’s disease of the pouch
37. Salvage and revision surgery for failed pouch
37. Special issues: Kock pouch, Barnett Continent Intestinal Reservoir, Diverted pouch
39. Liver surgery in UC patients before and after restorative proctocolectomy
40. Functional pouch disorders
41. Male issues in ileal pouch
42. Female issues in ileal pouch
43. Novel Approaches for Pouchitis and Colitis with or without Diversion