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By definition, the small intestine is normal in UC—in contrast to Crohn’s disease (CD), which can affect any part of the gastrointestinal tract. The development of pouchitis after UC surgery thus provides an opportunity to study the “molecular events” associated with the development of IBD in previously normal tissue
“Gene alterations in pouch inflammation and Crohn’s disease overlap, suggesting that inflammatory bowel disease is a spectrum, rather than distinct diseases,” according to the new research by Dr S. Ben Shachar and colleagues of Tel Aviv University, Israel. They believe the occurrence and progression of gene changes in previously normal intestine after UC surgery provides a useful model for studying the development of inflammatory bowel disease (IBD).
http://www.thealmagest.com/pouchitis-ulcerative-colitis-surgery-linked-changes-gene-expression/4496