Alopecia After Ileal Pouch-Anal Anastomosis

In a 1989 study involving 24 patients who underwent ileal pouch-anal anastomosis between 1985 and 1987, researchers found that 9 patients (38%) experienced transient hair loss post-surgery, with females being more likely to be affected. The hair loss resolved on its own within several months, and the cause was determined to be multifactorial, not linked to specific nutritional deficiencies for those who maintained oral nutrient intake. The study suggested that while the hair loss can be distressing, particularly for young women, it is temporary and hair growth returns as patients recover. The recommended management is reassurance, and there is generally no need to evaluate for specific nutritional deficiencies.