Proctocolectomy for ulcerative colitis

Lee, Emanoel C. G.; Truelove, S. C.

doi:10.1007/bf02393575

Cited by 43 publications

(10 citation statements)

References 32 publications

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“…Most of the people affected can have their disease clinically controlled; however, as ulcerative colitis progresses, it is estimated that 20 to 30% of the patients will eventually need surgical treatment,3 since clinical treatment is no longer effective.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life in the Late Follow-Up of Ulcerative Colitis Patients Submitted to Restorative Proctocolectomy with Sphincter Preservation Over Ten Years Ago

Meyer

Teixeira

Almeida

et al. 2009

Clinics

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OBJECTIVETo evaluate, by means of the Inflammatory Bowel Disease Questionnaire (IBDQ), the quality of life of ulcerative colitis patients submitted to proctocolectomy with sphincter preservation using J-pouch reconstruction over ten years ago.METHODSThe study consisted of 36 patients interviewed using the Inflammatory Bowel Disease Questionnaire. The score scale, resulting from the addition of each answer, ranged from 32 to 224, where the highest score indicates the best quality of life. The chi square test was used to verify the existence of meaningful differences between the results of the questionnaire and age, and gender proportion. For each section, as well as for all of them combined, the Kruskal-Wallis test was used to verify if there were differences in the Inflammatory Bowel Disease Questionnaire scores among the groups in relation to the proportions.RESULTSAfter applying the Inflammatory Bowel Disease Questionnaire, it was determined that quality of life was considered excellent for 9 (25%), good for 11 (30.6%), regular for 13 (36.1%), and bad for 3 (8.3%) patients. In our study, we determined that 85% of the patients were pleased with and thankful for the surgery that they underwent.CONCLUSIONWe can conclude that the possibility of sphincter preservation should always be taken into account, since patients remain clinically stable and have a high quality of life even after long periods.

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Section: Introductionmentioning

confidence: 99%

Quality of Life in the Late Follow-Up of Ulcerative Colitis Patients Submitted to Restorative Proctocolectomy with Sphincter Preservation Over Ten Years Ago

Meyer

Teixeira

Almeida

et al. 2009

Clinics

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“…Surgery is typically performed when a patient remains symptomatic or has complications of the disease despite ongoing, often intensive medical therapy. 4,5 Colectomy is often performed in patients who desire to ultimately eradicate their disease due to poor response to medical management. 6 Colectomy can restore patient health from acute or chronic disease and minimize the risk of cancer of the large bowel in patients with UC.…”

Section: Introductionmentioning

confidence: 99%

“…6 Colectomy can restore patient health from acute or chronic disease and minimize the risk of cancer of the large bowel in patients with UC. 5 …”

Section: Introductionmentioning

confidence: 99%

Quality of Life in Patients Postcolectomy for Pediatric‐onset Ulcerative Colitis

Dalal

Patton²,

Wojcicki³

et al. 2012

J. pediatr. gastroenterol. nutr.

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Background Ulcerative colitis in children can have a negative impact on quality of life (QOL). Methods We included 16 of 31 patients who underwent colectomy for ulcerative colitis before 20 years of age between 1980-2005 at UCSF Benioff Children’s Hospital. A disease-specific QOL questionnaire (IBDQ-32), validated for adults, was used to determine QOL and an additional questionnaire addressing bowel function and reproductive health in long term follow up of these patients. Results Median age at the time of survey was 20.3 years (17.9-25.3) and time post colectomy was 6.9 years (4.8-9.0). Mean total score was 159.7±43.3 (58-210). Two patients (12.5%) had scores of ≥200, 12 (75.0%) had 101-199, and 2 (12.5%) had ≤100. Patients ≤18 years at the time of survey showed higher QOL, particularly in emotional health (p=0.020), social function (p=0.014), and overall QOL (p=0.009). Social function scored highest of all systems (median 7; IQR 4-7). Patients with scores ≤100 had repeated episodes of pouchitis (16-30) compared with the other 14 patients (0-3). Children diagnosed ≤12 years of age tended to have higher QOL (p=0.072). Years post-colectomy did not correlate to QOL. Eleven patients were sexually active. Two males had feelings of impotence and decreased libido, and six females experienced dyspareunia. Three women tried unsuccessfully to conceive after colectomy. One woman became pregnant four times, each leading to miscarriage. Conclusions Younger age at time of colectomy, diagnosis, and survey show higher QOL. Highest satisfaction was found in ability to attend school, work, and social engagements. Pouchitis continued to be an issue for a small number of the patients, with two patients having recurring episodes that severely affected QOL. Patients reported decreased sexual activity and fertility at the time of survey due to colectomy, especially for females.

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“…Die Colectomie mit ileo-rectaler Anastomose sowie die Proktocolektomie mit endst~indigem Ileostoma gelten heute als allgemein anerkannte Operationsverfahren bei der chirurgischen Behandlung der Colitis ulcerosa [1,4,5,8].…”

Section: Introductionunclassified

Totale Colektomie, Recto-Mucosektomie und ileo-anale Anastomose mit Ileum-Reservoir bei der Behandlung der Colitis ulcerosa

Athanasiadis

Girona

1982

Langenbecks Arch Chiv

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An operation avoiding a permanent ileostomy is described for patients with ulcerative colitis. The colon and upper half of the rectum are excised and the remaining inflamed mucosa is stripped from the rectal stump down to the dentate line of the anal canal. After excision of all diseased tissue, a reservoir is constructed from the terminal 40 cm of the small intestine. An ileoanal anastomosis via the peranal approach is then carried out. Six patients have been treated, five of whom were followed up for 2-21 months (mean 11 months). One patient died 3 weeks after the operation. The other five are currently well, with no disturbance of urinary or sexual function. The average frequency of evacuation is 5 times in 24 h. Three of these evacuate the reservoir spontaneously and one routinely uses a catheter. (One patient still has an ileostomy). Fecal continence is complete in all during the day and night.

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Proctocolectomy for ulcerative colitis

Cited by 43 publications

References 32 publications

Quality of Life in the Late Follow-Up of Ulcerative Colitis Patients Submitted to Restorative Proctocolectomy with Sphincter Preservation Over Ten Years Ago

Quality of Life in the Late Follow-Up of Ulcerative Colitis Patients Submitted to Restorative Proctocolectomy with Sphincter Preservation Over Ten Years Ago

Quality of Life in Patients Postcolectomy for Pediatric‐onset Ulcerative Colitis

Totale Colektomie, Recto-Mucosektomie und ileo-anale Anastomose mit Ileum-Reservoir bei der Behandlung der Colitis ulcerosa

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