Calidad de vida después de proctocolectomía restaurativa con reservorio ileoanal en J en pacientes con colitis ulcerativa / Quality of life after restorative proctocolectomy with ileo-anal J pouch in patients with ulcerative colitis
Cir. & cir
;
75(6): 449-452, nov.-dic. 2007. tab
Article
Dans Espagnol
| LILACS
| ID: lil-568930
ABSTRACT
BACKGROUND:
Restorative proctocolectomy with ileal pouch-anal anastomosis has become the most common treatment in patients with ulcerative colitis. This procedure removes the entire colon, conserving the sphincteric complex and, therefore, preserving continence. The most important goal of this surgery is to improve quality of life.METHODS:
We reviewed the files of patients who underwent restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis from January 1995 to December 2004 . We administered questionnaire SF-36 to evaluate quality of life. We used an observational, retrospective, and transversal method.RESULTS:
Twenty J pouch procedures were done, of which files of 14 patients were reviewed. As far as quality of life, we were able to interview only eight patients and the average was as follows physical function 75, physical status 50, corporal pain 51, general health 77, vitality 47.5, social function 62.50, emotional status 83 and mental health 74.DISCUSSION:
Previous reports exist showing that proctocolectomy is a safe and effective procedure for patients with ulcerative colitis and where ileostomy is accompanied by one definitive, independent continent or pouch.CONCLUSIONS:
The presence of stoma and fecal incontinence are factors that contribute to deterioration of quality of life after proctocolectomy; thus, both should be avoided. Of the patients who we interviewed, 87.5% consider that their health status has improved during 1 year.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Qualité de vie
/
Rectocolite hémorragique
/
Proctocolectomie restauratrice
Type d'étude:
Étude observationnelle
/
Étude de prévalence
/
Facteurs de risque
Limites du sujet:
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Cir. & cir
Thème du journal:
Chirurgie générale
Année:
2007
Type:
Article
Pays d'affiliation:
Mexique
Institution/Pays d'affiliation:
Instituto Mexicano del Seguro Social/MX
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