Does IPAA lead to higher rates of EIM remission than permanent ileostomy in patients undergoing colectomy for CD

the retrieved excerpts do not answer this question, none of them compare rates of extraintestinal manifestation remission between ileal pouch-anal anastomosis and permanent (end) ileostomy in patients undergoing colectomy for Crohn's disease. the excerpts that mention both operations do so in the context of graft survival after liver transplantation in PSC-IBD ¹ or long-term outcomes in PSC-IBD requiring transplant and colectomy ², not EIM remission, and most concern ulcerative colitis pouch outcomes rather than Crohn's disease.

## References

1. Schabl L, Holubar SD, Maspero M, Steele SR, Hull T. Ileal pouch-anal anastomosis and end ileostomy result in equivalent graft survival following liver transplantation for inflammatory bowel disease-primary sclerosing cholangitis. Tech Coloproctol. 2024;28:113. PMID: 39167239.

2. Matar AJ, Falconer E, LaBella M, Kapadia MR, Justiniano CF, Olortegui KS, Steinhagen R, Schultz K, Pratap A, Leeds I, Weaver L, Gaertner W, Finger EB, Thompson M, Fair L, Fichera A, Lovasik BP, Chapman WC, McGeoch CLB, Camacho MC, Kazimi M, Kim SC, Shaffer VO, Srinivasan JK. Long-term Outcomes Following Colectomy and Liver Transplantation for Inflammatory Bowel Disease With Primary Sclerosing Cholangitis. Ann Surg. 2026;283:707-714. PMID: 39258375.

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_Draft, generated by the IBDology RAG and not yet clinician-reviewed. Answers are grounded in the retrieved literature listed above; a high faithfulness score means the answer matches its sources, not that the sources are correct._