Ileal lesions in patients with ulcerative colitis after ileo-rectal anastomosis: Relationship with colonic metaplasia

Figure 4 Endoscopic view, histological analysis and WCE images of the rectum and neo-terminal ileum from a third UC patient (LRA) with IRA. A: Endoscopic view of the rectal stump showing erosions and pseudopolyps; B: Endoscopic views of the ileum showing small focal ulcers above the anastomosis; C: Ileal biopsy sample from the same patient showing no villous atrophy or colonic metaplasia by histology; D: WCE images showing in the neo-terminal ileum above the anastomosis, 2 ulcers covered by fibrin (arrows) surrounded by macroscopically normal ileum.