Safety and quality of life of one-stage total colorectal resection and ileal pouch anal anastomosis for ulcerative colitis

doi:10.3877/cma.j.issn.2095-3224.2019.06.011

Abstract

Abstract:

Objective

To investigate the safety and postoperative quality of life for patients with ulcerative colitis (UC) treated with one-stage total colorectal resection and ileal pouch anal anastomosis (IPAA).

Methods

The clinical and postoperative clinical data and quality of life scores of 22 patients with UC who underwent IPAA treatment from January 2014 to December 2015 in the Gastrointestinal Surgery Center of West China Hospital of Sichuan University were retrospectively analyzed.

Results

All of the 22 patients were successfully enrolled and were treated with IPAA. A total of 18 patients had 20 complications/time, including 2 cases of moderate-to-severe complications (Clavien-Dindo III~IV), one case of thoracic puncture with pleural effusion, one patient was treated with ICU due to postoperative pulmonary infection. There was no anastomotic leakage of all the patients. The average number of bowel movements was (6.75±1.24) times/day and (4.18±1.00) times/day at 3 months and 12 months after surgery. The overall Cleveland quality of life assessment (CGQL) was (0.85±0.08) and (0.92±0.06).

Conclusion

For patients with UC for elective surgery, one-stage IPAA treatment is safe and feasible, and the postoperative defecation function and quality of life are satisfactory.

Key words: Rectum, Ulcerative colitis, Colorectal resection and ileal pouch anal anastomosis, Quality of life

Lin Xia, Ziqiang Wang, Ye Shu. Safety and quality of life of one-stage total colorectal resection and ileal pouch anal anastomosis for ulcerative colitis[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(06): 606-609.

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