Outcome of total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis / 대한외과학회지
Journal of the Korean Surgical Society
;
: 135-140, 2012.
Article
in English
| WPRIM
| ID: wpr-207798
ABSTRACT
PURPOSE:
We evaluated the risk factors for late complications and functional outcome after total proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC).METHODS:
Pre- and postoperative clinical status and follow-up data were obtained for 55 patients who underwent TPC with IPAA between 1999 and 2010. The median follow-up duration was 4.17 years. Late complications were defined as those that appeared at least one month after surgery. For a functional assessment, telephone interviews were conducted using the Global Assessment of Functioning Scale. Twenty-eight patients completed the interview.RESULTS:
Late complications were found in 20 cases (36.3%), comprising pouchitis (n = 8), bowel obstruction (n = 5), ileitis (n = 3), pouch associated fistula (n = 2), and intra-abdominal infection (n = 2). The preoperative serum albumin level for patients with late complications was lower than for patients without (2.4 +/- 0.5 vs. 2.9 +/- 0.7, P = 0.04). Functional outcomes were not significantly associated with clinical characteristics, follow-up duration, operation indication, or late complications.CONCLUSION:
This study demonstrated that a low preoperative albumin level could be a risk factor for late complications of TPC with IPAA. Preoperative nutritional support, especially albumin, could reduce late complications. Functional outcomes are not related to late complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ulcer
/
Serum Albumin
/
Colitis, Ulcerative
/
Interviews as Topic
/
Risk Factors
/
Follow-Up Studies
/
Nutritional Support
/
Pouchitis
/
Intraabdominal Infections
/
Fistula
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Surgical Society
Year:
2012
Type:
Article
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