Long-Term Followup with Evaluation of the Surgical and Functional Results of the Ileal Pouch Reservoir in Restorative Proctocolectomy for Ulcerative Colitis
Joint Authors
Røkke, Ola
Iversen, Knut
Olsen, Torill
Eide, Geir Egil
Ristesund, Sølvi-May
Turowski, Gitta Erika
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-16
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Aims.
Evaluate the early and long term surgical and functional results of the ileal pouch-reservoir (IPAA) in patients with intractable ulcerative colitis.
Material and Methods.
Followup of 134 consecutive patients with W-or J-ileal pouch by diseases-specific and general health (SF-36) questionnaire.
In the first 44 patients, early and late followup was performed.
Results.
Followup was performed 7.4 years (0.5–17 years) after construction of W (n=9) and J (n=125) ileal pouch, which had similar results.
There were 14.9% early and 43.6% late complications with 12.7% early and 19.5% late reoperations.
Protecting loop-ileostomy used in 54 patients (43.9%), did not protect against complications.
Thirteen reservoirs (9.8%) were resected (n=8) or deactivated (n=5) due to functional failure.
Operation time, postoperative complications and pouchitis were determinators for reservoir failure and reduced quality of life.
The functional results at followup of 44 patients at 2.5 years (0.8–6.7 years) and 11.5 years (8.2–19.2 years) were remarkably similar.
Conclusions.
IPAA is a good option for most patients when medication fails.
10% experience failure with inferior quality of life.
Protective stoma will not reduce failure rates.
After an initial time period, reservoir function will not change over time.
American Psychological Association (APA)
Røkke, Ola& Iversen, Knut& Olsen, Torill& Ristesund, Sølvi-May& Eide, Geir Egil& Turowski, Gitta Erika. 2011. Long-Term Followup with Evaluation of the Surgical and Functional Results of the Ileal Pouch Reservoir in Restorative Proctocolectomy for Ulcerative Colitis. ISRN Gastroenterology،Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-486167
Modern Language Association (MLA)
Røkke, Ola…[et al.]. Long-Term Followup with Evaluation of the Surgical and Functional Results of the Ileal Pouch Reservoir in Restorative Proctocolectomy for Ulcerative Colitis. ISRN Gastroenterology No. 2011 (2011), pp.1-10.
https://search.emarefa.net/detail/BIM-486167
American Medical Association (AMA)
Røkke, Ola& Iversen, Knut& Olsen, Torill& Ristesund, Sølvi-May& Eide, Geir Egil& Turowski, Gitta Erika. Long-Term Followup with Evaluation of the Surgical and Functional Results of the Ileal Pouch Reservoir in Restorative Proctocolectomy for Ulcerative Colitis. ISRN Gastroenterology. 2011. Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-486167
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486167