Anorectal Function After Ileo-Rectal Anastomosis Is Better than Pelvic Pouch in Selected Ulcerative Colitis Patients
| Autor: | Johan D. Söderholm, Rickard Norblad, Maie Abdalla, Malin Olsson, Kalle Landerholm, Roland Andersson, Peter Andersson, Pär Myrelid |
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| Rok vydání: | 2019 |
| Předmět: |
Quality of life
Adult Male medicine.medical_specialty Adolescent Physiology medicine.medical_treatment Colonic Pouches Gastroenterology and Hepatology Anastomosis Young Adult Risk Factors Internal medicine Gastroenterologi Humans Medicine Child Defecation Aged Colectomy Aged 80 and over medicine.diagnostic_test business.industry Kirurgi Proctocolectomy Restorative Gastroenterology Recovery of Function Middle Aged Hepatology medicine.disease Ulcerative colitis Surgery Endoscopy Treatment Outcome Ileal pouch-anal anastomosis Anorectal function Original Article Ileo-rectal anastomosis Colitis Ulcerative Female Pouch business Fecal Incontinence |
| Zdroj: | Digestive Diseases and Sciences |
| ISSN: | 1573-2568 0163-2116 |
| DOI: | 10.1007/s10620-019-05757-6 |
| Popis: | Background With a lifelong perspective, 12% of ulcerative colitis patients will need a colectomy. Further reconstruction via ileo-rectal anastomosis or pouch can be affected by patients’ perspective of their quality of life after surgery. Aim To assess the function and quality of life after restorative procedures with either ileo-rectal anastomosis or ileal pouch-anal anastomosis in relation to the inflammatory activity on endoscopy and in biopsies. Method A total of 143 UC patients operated with subtotal colectomy and ileo-rectal anastomosis or pouches between 1992 and 2006 at Linköping University Hospital were invited to participate. Those who completed the validated questionnaires (Öresland score, SF-36, Short Health Scale) were offered an endoscopic evaluation including multiple biopsies. Associations between anorectal function and quality of life with type of restorative procedure and severity of endoscopic and histopathologic grading of inflammation were evaluated. Results Some 77 (53.9%) eligible patients completed questionnaires, of these 68 (88.3%) underwent endoscopic evaluation after a median follow-up of 12.5 (range 3.5–19.4) years after restorative procedure. Patients with ileo-rectal anastomosis reported better overall Öresland score: median = 3 (IQR 2–5) for ileo-rectal anastomosis (n = 38) and 10 (IQR 5–15) for pouch patients (n = 39) (p |
| Databáze: | OpenAIRE |
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