Quality of life after pouch excision

• Published in: British journal of surgery Vol. 85; no. 2; pp. 249 - 251
• Main Authors: Tan, H. T., Morton, D., Connolly, A. B., Pringle, W., White, M., Keighley, M. R. B
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Science Ltd 01-02-1998; Wiley
• Subjects: Activities of Daily Living; Adolescent; Adult; Aged; Biological and medical sciences; Colitis, Ulcerative - pathology; Colitis, Ulcerative - rehabilitation; Colitis, Ulcerative - surgery; Female; Humans; Ileostomy - methods; Male; Medical sciences; Middle Aged; Postoperative Period; Proctocolectomy, Restorative - adverse effects; Proctocolectomy, Restorative - methods; Quality of Life; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Treatment Failure; Human; Ileostomy; Questionnaire; Inflammatory disease; Quality of life; Treatment; Surgery; Rectum; Digestive diseases; Intestinal disease; Proctocolectomy; Colon; Comparative study; Ulcerative colitis
• ISSN: 0007-1323; 1365-2168
• DOI: 10.1046/j.1365-2168.1998.00582.x

Background
Pouch excision is a devastating experience for patients having restorative proctocolectomy for ulcerative colitis.
Methods
The quality of life among patients having pouch excision for ulcerative colitis was compared with that in those having proctocolectomy and ileostomy for ulcerative colitis using a validated standardized self‐administered questionnaire.
Results
After pouch excision patients (n = 9) had more troublesome bowel symptoms (mainly from liquid stoma output) than those in the proctocolectomy group (n = 14) (mean(s.d.) score 5·64(0·92) versus 6·13(0·37), P = 0·03). However, the mean scores for the other parameters (systemic symptoms, functional, social and emotional impairment) did not differ significantly.
Conclusion
Patients having pouch excision for ulcerative colitis have more liquid ileostomy loss but a comparable quality of life to those treated by standard proctocolectomy and ileostomy. © 1998 British Journal of Surgery Society Ltd