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