Health-Related Quality of Life and Pouch Function in Continent Ileostomy Patients: A 30-Year Perspective

Abstract

Although revisional operations may be needed to restore continence, continent ileostomy has a good durability. Pouch function was satisfactory and patients' satisfaction was high. Health-related quality of life levels were similar to those of the general population.

Long-Term Outcome After Ileal Pouch-Anal Anastomosis: Function and Health-Related Quality of Life

“…1,14,15 Functional outcome was evaluated with a questionnaire that has been used in previous studies. 16 Median bowel movements was 6 per 24 hours in the present investigation, thus in the same range as other long-term findings. 3,5 Furthermore, we found that 75 percent of our patients emptied the reservoir at least once per week at night.…”

“…The HRQL questionnaire was sent to all failures, except for the five patients with continent ileostomy (CI). Twentysix of 34 patients replied (76 percent; 14 males; [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] years. An analysis of the nonresponding 40 patients with IPAA revealed that they were younger than the responders at IPAA construction (31 (range 13-52) years vs. 36 (range 14-68) years; P < 0.05).…”

Continent Ileostomy: Current Experience

“…Their success rate of 93 percent at five years is similar to our 92 percent success rate in an average of 5.5 years (66 months) follow-up. Similar long-term success with 68 continent ileostomy patients also was recently reported by Berndtsson et al 26 Long-term follow-up of continent ileostomies also has documented a very low incidence of ileal mucosal dysplasia, similar to ileoanal pouches. [27][28][29] The utility of continent ileostomies should be measured not only by its complication and reoperation rate but also by its functional outcome and patient satisfaction.…”

The failed pelvic pouch: conversion to a continent ileostomy

“…The postoperative morbidity (the high reoperation rate in particular) has acted as a deterrent; however modifications in the original surgical technique and postoperative management have reduced the risks. Recent long-term studies confirm this observation and show that the continent ileostomy has a good durability with a good functional result and is associated with a high patient satisfaction [16,17].…”