2019
DOI: 10.1007/s10620-019-05757-6
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Anorectal Function After Ileo-Rectal Anastomosis Is Better than Pelvic Pouch in Selected Ulcerative Colitis Patients

Abstract: 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 pouchanal anastomosis in relation to the inflammatory activity on endoscopy and in biopsies. Method A total of 143 UC patients operated with subtotal colec… Show more

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Cited by 9 publications
(12 citation statements)
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“…However, overall stool frequency was not affected by SNS implantation in this analysis. This is reflected in previous work describing low daytime fecal incontinence of 1 to 25% in contrast to nighttime incontinence of 8 to 49% [2][3][4][5][6][7][8].…”
Section: Discussionmentioning
confidence: 67%
See 2 more Smart Citations
“…However, overall stool frequency was not affected by SNS implantation in this analysis. This is reflected in previous work describing low daytime fecal incontinence of 1 to 25% in contrast to nighttime incontinence of 8 to 49% [2][3][4][5][6][7][8].…”
Section: Discussionmentioning
confidence: 67%
“…Daytime stool incontinence is described in 1 to 25% of patients after J-pouch formation with IPAA [2][3][4][5][6][7]. Incontinence at night seems to be more common at 8 to 49% [3][4][5][6][7][8]. Increased stool frequency is another reported factor that negatively impacts quality of life [9].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Total abdominal colectomy with an initial or staged ileorectal anastomosis (IRA) is associated with improved functional outcomes and higher quality-adjusted life-years compared with IPAA and avoids a pelvic dissection which may preserve fertility in women. [250][251][252] Appropriately selected patients for this technique should have a relatively spared, healthy, and compliant rectum. Patients undergoing IRA should be counseled regarding the potential need for future medical therapy to address proctitis, recognizing that at 5, 10, and 20 years post-IRA, 10%, 24% to 27%, and 40% of these patients undergo completion proctectomy for medically refractory disease.…”
Section: Total Abdominal Colectomy With Ileorectal Anastomo-mentioning
confidence: 99%
“…Despite major breakthroughs in the management of ulcerative colitis (UC), surgery remains the only viable option whenever different treatment modalities fail, or major complications appear. Approximately 12% of UC patients will require a colectomy at some point during their lifetime [1]. Since its introduction in the late 1970s, total proctocolectomy (TPC), with an ileal pouch-anal anastomosis (IPAA) has been supported by the European Crohn and Colitis guidelines and has been the gold standard for UC patients subjected to surgery [2].…”
Section: Introductionmentioning
confidence: 99%