Septic Complications after Restorative Proctocolectomy do not Impair Functional Outcome: Long-Term Follow-Up from a Specialty Center

Abstract

Anastomotic leak after restorative proctocolectomy does not adversely affect long-term quality of life or functional outcome. However, pouch loss/permanent ileostomy is significantly more likely in patients who have had an anastomotic leak.

Pouch function and quality of life after successful management of pouch-related septic complications in patients with ulcerative colitis

“…Some previous studies came to the same conclusion [15,17,18]. Chessin et al provided the largest data pool on this topic including 60 patients with pouch-related septic complications [15]. Fecal Incontinence Severity Index score and the Cleveland Global Quality of Life score were not different compared to 314 patients without septic complications [15].…”

“…Furthermore, quality of life, as measured by SIBDQ and GIQLI, is not inferior in patients recovering from pouch-related septic complications. Some previous studies came to the same conclusion [15,17,18]. Chessin et al provided the largest data pool on this topic including 60 patients with pouch-related septic complications [15].…”

“…This issue is not clarified yet, as previous studies showed conflicting results on this topic [13,[15][16][17][18].…”

“…Chessin et al provided the largest data pool on this topic including 60 patients with pouch-related septic complications [15]. Fecal Incontinence Severity Index score and the Cleveland Global Quality of Life score were not different compared to 314 patients without septic complications [15]. However, other authors found a deterioration of function or quality of life [13,16].…”

Systematic Review of the Impact of Surgical Harm on Quality of Life After General and Gastrointestinal Surgery

“…The mean quality score of all studies was 6 (range: 2-10). 23,27,31,36,38,40,44 23,27,31,36,38,40,44 …”