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There was no evidence of backwash ileitis in the proctocolectomy specimen.
This so-called "backwash ileitis" can occur in 10-20% of patients with pancolitis and is believed to be of little clinical significance.
This particular finding supports the finding, based on radiological studies, that the presence of backwash ileitis did not predispose to an increased incidence of pouchitis.
This implies a potential abnormality of the ileal mucosa in ulcerative colitis that is not evident when the ileum and colon are in normal continuity, with the possible exception of 'backwash ileitis'.