Document Detail


Incidence and outcome of complications following restorative proctocolectomy.
MedLine Citation:
PMID:  15972169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy. METHODS: In 96.3% of patients, the pouch was anastomosed using the double stapling method. A total of 44.6% of patients underwent restorative proctocolectomy in 1 stage without ileostomy and 53% in 2 stages. Complications were divided into 2 stages: early (within 1 month) and late (after 1 month); moreover, the annual incidences were calculated, mean onset time, and pouch survival rate. RESULTS: The overall incidence of complications was 52.7%. Early complications (13.2%) occurred significantly less often than late complications (46.3%) (P < .05). Thirty-five (17.7%) of 198 complications required surgery. The cumulative 5- and 10-year pouch survival rate was 99%, respectively. CONCLUSIONS: The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high.
Authors:
Katsuhiko Arai; Kazutaka Koganei; Hideaki Kimura; Minako Akatani; Fumihiko Kitoh; Akira Sugita; Tsuneo Fukushima
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  190     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-23     Completed Date:  2005-08-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Yokohama City Hospital, Hodogaya, Yokohama 240-0855, Japan. arai@zd5.so-ney.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Chi-Square Distribution
Cohort Studies
Colitis, Ulcerative / diagnosis,  surgery*
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Postoperative Complications / diagnosis,  epidemiology*
Probability
Proctocolectomy, Restorative / adverse effects*,  methods
Retrospective Studies
Risk Assessment
Severity of Illness Index
Sex Distribution
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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