Incidence and outcome of complications following restorative proctocolectomy
| Autor: | Hideaki Kimura, Tsuneo Fukushima, Akira Sugita, Fumihiko Kitoh, Katsuhiko Arai, Minako Akatani, Kazutaka Koganei |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Risk Assessment Severity of Illness Index Statistics Nonparametric Cohort Studies Ileostomy Age Distribution Postoperative Complications medicine Humans Sex Distribution Survival rate Probability Retrospective Studies Chi-Square Distribution Proctocolectomy business.industry Incidence (epidemiology) Incidence Proctocolectomy Restorative Retrospective cohort study General Medicine Middle Aged medicine.disease Ulcerative colitis Surgery Colitis Ulcerative Female Pouch Complication business Follow-Up Studies |
| Zdroj: | American journal of surgery. 190(1) |
| ISSN: | 0002-9610 |
| Popis: | Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy.In 96.3% of patients, the pouch was anastomosed using the double stapling method. A total of 44.6% of patients underwent restorative proctocolectomy in 1 stage without ileostomy and 53% in 2 stages. Complications were divided into 2 stages: early (within 1 month) and late (after 1 month); moreover, the annual incidences were calculated, mean onset time, and pouch survival rate.The overall incidence of complications was 52.7%. Early complications (13.2%) occurred significantly less often than late complications (46.3%) (P.05). Thirty-five (17.7%) of 198 complications required surgery. The cumulative 5- and 10-year pouch survival rate was 99%, respectively.The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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