Quality of Life After Ileoanal Pouch: A Comparison of J and W Pouches

Abstract

Because the J pouch is less technically demanding, it should be the preferred configuration.

A systematic review and meta‐analysis comparing adverse events and functional outcomes of different pouch designs after restorative proctocolectomy

“…The reported mean age of the patients at the time of the operation ranged from 30 to 43.2 years and the reported mean duration of postoperative follow‐up ranged from 4.5 to 132 months. Fourteen studies contained groups that were matched for age at operation, 15 for gender, 15 for the underlying disease requiring restorative proctocolectomy, 10 for pouch limb length, 21 for proximal diversion with loop ileostomy, 13 for undergoing a two‐stage procedure with previous colectomy, 19 for the method of pouch–anal anastomosis construction (i.e. hand‐sewn or stapled) and four were matched for the period of follow‐up.…”

“…Figure 1 shows the study flow diagram. Thirty comparative studies fulfilled the inclusion criteria of this meta-analysis and included six randomized controlled trials [17][18][19][20][21][22], seven prospective non-randomized studies [3,[23][24][25][26][27][28] and 17 retrospective non-randomized studies [6,[29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. There were 4098 patients for analysis including 2038 patients who had a J pouch, 806 a W pouch, 775 an S pouch and 479 a K pouch.…”

“…The reported mean age of the patients at the time of the operation ranged from 30 to 43.2 years and the reported mean duration of postoperative follow-up ranged from 4.5 to 132 months. Fourteen studies [6,[18][19][20]22,23,28,29,33,34,39,40,42,43] contained groups that were matched for age at operation, 15 [3,6,[18][19][20]22,23,28,29,33,34,39,[42][43][44] for gender, 15 [3,[17][18][19][21][22][23][27][28][29]32,33,40,43,44] for the underlying disease requiring restorative proctocolectomy, 10 [6,17,24,25,28,…”

Health-related quality of life assessment among patients with inflammatory bowel diseases after surgery – review

“…Comparisons of the quality of life of patients with regard to the different methods of surgery, pharmacology, and disease activity [21, 24, 26, 30, 32–34, 37–39, 41, 43, 46]. …”

“…The study focused on comparing the quality of life between patients who had the J pouch and those who had the in the pouch, taking into account the different methods of surgical treatment [37]. Based on the obtained results demonstrated similar QoL compared W-pouch with the J-pouch.…”