Early endoscopic evaluation of the ileal pouch after ulcerative colitis surgery.

Surgical treatment of the ulcerative colitis is abdominal procto-colectomy and ileal pouch anal anastomosis. A J-shaped pouch is created from the terminal ileum to serve as a reservoir function of the rectum. Early endoscopic evaluation of the pouch can predict surgical complications and the long-term pouch outcome. The owl's eyes image in the proximal part of the pouch is an indicator that it is technically well constructed.