Postoperative outcomes after Heal pouch anal anastomosis surgery for patients with ulcerative colitis and familial polyposis

ABSTRACT

The restorative proctocolectomy [RPC] with ileal pouch anal anastomosis [IPAA] has become the procedure of choice for the surgical treatment of patients with ulcerative colitis [UC] and familial adenomatous polyposis [FAP]. Despite its wide acceptance, reports are variable with regard to the outcomes between patients with UC and FAR This study evaluates the differences in the postoperative morbidity. gastrointestinal function and quality of life between a series of UC [n=12] and FAP patients [n=6] after IPAA. With the exception of septic complications and pouchitis, there was no difference in functional status or quality of life between UC and FAP patients. Septic complications and pouchitis were significant findings among patients with UC than the FAP group [P<0.05]. Despite this, both groups of patients had similar numbers of stools per day, and had similarly low rates of incontinence [P>005], FAP patients were less satisfied than the UC patients did, however, this was not statistically significant [P<0.05]. Our data imply that despite differences in occurrence of septic complications and pouchitis, FAP and UC patients enjoy similar bowel function, quality of life and continence status after IPAA