|Quality of life after ileoanal pouch: a comparison of J and W pouches.|
|PMID: 19357929 Owner: NLM Status: MEDLINE|
|INTRODUCTION: Standard treatment for ulcerative colitis and prevention of malignancy is total proctocolectomy with a neoileal pouch. The ideal configuration of the pouch has been debated. We hypothesized that there was no difference in quality of life between the J pouch and the W pouch. MATERIAL AND METHODS: We retrospectively reviewed the medical records of all patients undergoing ileoanal anastomosis with pouch construction at a single community-based teaching hospital over an 11+-year period. We collected demographic, operative, and postoperative data and then developed and distributed a survey designed to assess patient quality of life following pouch construction. The data of patients who had J pouches were then compared with those of patients who had W pouches. Forty-nine patients were identified; 30 had J pouches and 19 had W pouches. RESULTS: The groups did not differ significantly in age, sex, or indication for surgery. Significant differences were detected in readmission rates (J = 63%, W = 21%; p = 0.004) and length of follow-up (J = 61 months, W = 117 months; p = 0.001). Complication rates, length of stay, and conversion to end ileostomy rates were similar between groups. Self-reported health status, activity restrictions, urgency, seepage, protective pad use, and number of bowel movements at night were also similar. A significant difference existed in number of bowel movements per day (J = 6, W = 4.5, p = 0.041). No difference in quality of life was found between groups. Subgroup analysis of ulcerative-colitis-only patients had no effect on results. CONCLUSION: Because the J pouch is less technically demanding, it should be the preferred configuration.|
|Alexander D Wade; Michelle A Mathiason; Eric F Brekke; Shanu N Kothari|
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|Type: Comparative Study; Journal Article Date: 2009-04-09|
|Title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract Volume: 13 ISSN: 1873-4626 ISO Abbreviation: J. Gastrointest. Surg. Publication Date: 2009 Jul|
|Created Date: 2009-06-09 Completed Date: 2009-09-03 Revised Date: -|
Medline Journal Info:
|Nlm Unique ID: 9706084 Medline TA: J Gastrointest Surg Country: United States|
|Languages: eng Pagination: 1260-5 Citation Subset: IM|
|Department of Medical Education, Gundersen Lutheran Medical Foundation, 1900 South Avenue, C03-006B, La Crosse, WI 54601, USA.|
|APA/MLA Format Download EndNote Download BibTex|
Anastomosis, Surgical / adverse effects, methods
Colitis, Ulcerative / pathology, surgery
Colonic Neoplasms / pathology, surgery
Defecation / physiology
Length of Stay
Postoperative Complications / diagnosis, surgery
Proctocolectomy, Restorative / methods*
Quality of Life*
Sickness Impact Profile
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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