| Autor: |
Bin Mohd Zam, Nor Azhari, Kok-Yang Tan, Chin Ng, Chung-Ming Chen, Soong-Kuan Wong, Hong-Chee Chng, Khoon-Hean Tay, Eu, Kong-Weng |
| Předmět: |
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| Zdroj: |
ANZ Journal of Surgery; Oct2005, Vol. 75 Issue 10, p840-843, 4p |
| Abstrakt: |
Objective: This study reviews the functional outcome and satisfaction of patients after subtotal or total colectomy (STTC). Methods: A retrospective review of patients who underwent STTC between June 1999 and September 2003 was performed. A standardized questionnaire was formulated and phone interviews were conducted with these patients. Results: There were 50 patients who underwent STTC during this period. The most common indications were bleeding diverticular disease, patients with synchronous colorectal cancers or polyps and left-sided colonic obstruction. The presence of ischaemic heart disease and the development of perioperative acute coronary syndrome were found to be statistically significant predictors of 30 day mortality with P = 0.01 and 0.05, respectively. Phone interviews were successfully conducted in 33 patients. The patients interviewed were between 4 and 54 months postsurgery. Ninety-four percent reported that they were either happy or satisfied. Cleveland Clinic Incontinence Score (CCIS) revealed good or perfect continence in 94% of patients. Less than one-quarter of those interviewed had five or more bowel movements in a day while most had either two or three bowel movements a day. Patient satisfaction after STTC correlated strongly with the severity of CCIS and number of bowel movements a day ( P < 0.01). Also, those with less than five bowel movements a day were more likely to report a better satisfaction ( P < 0.01). Conclusion: Subtotal or total colectomy is associated with a good functional outcome and most patients were satisfied with their bowel function on follow-up. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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