Long-Term Results of Ileal Pouch Surgery for Ulcerative Colitis
Author Information
Author(s): Røkke Ola, Iversen Knut, Olsen Torill, Ristesund Sølvi-Mai, Eide Geir Egil, Turowski Gitta Erika
Primary Institution: Haukeland University Hospital
Hypothesis
Evaluate the early and long term surgical and functional results of the ileal pouch-reservoir (IPAA) in patients with intractable ulcerative colitis.
Conclusion
IPAA is a good option for most patients when medication fails, but about 10% experience failure with inferior quality of life.
Supporting Evidence
- The study followed 134 patients over a mean observation time of 7.4 years.
- Complications occurred in 14.9% of patients early and 43.6% late after surgery.
- The functional results were stable over time, with no significant changes in quality of life.
Takeaway
Doctors can help people with severe bowel problems by making a special pouch from their intestines, but some people might still have issues later.
Methodology
Followup of 134 consecutive patients with W-or J-ileal pouch by disease-specific and general health questionnaire.
Limitations
The study was conducted at a single university hospital, which may limit generalizability.
Participant Demographics
77 men (57.5%) and 57 women (42.5%), mean age 42.8 years.
Digital Object Identifier (DOI)
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