[Long term functional outcomes after ileoanal pouch in patients with and without postoperative complications]

[Long term functional outcomes after ileoanal pouch in patients with and without postoperative complications] Research Abstract Details 

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[Long term functional outcomes after ileoanal pouch in patients with and without postoperative complications] Abstract Text:

Ubaldo Gualdrini,Mariana Coraglio,Laura Filippa,Guillermo Masciangioli,Alejandro ,Carlos Lumi,Alfredo Graziano,

BACKGROUND: the proctocolectomy with ilealpouch (IP) has become the gold standard for surgical treatment for ulcerative colitis (UC). The postoperative complications are frequent but the definitive outcome is acceptable. AIM: our aim was to evaluate the long term functional outcome in a series of consecutive patients with IP and to establish its relation with postoperative complications. PATIENTS AND METHODS: we included 144 patients categorized in two groups: I--patients without postoperative complications (n: 71); II--patients with postoperative complications (n: 73). Patients were followed for a median time of 3.8 years (range 1-15). We evaluated: stool frequency, anal discrimination between gas and stool, voluntary evacuation inhibition, requirement of antidiarrheal medications and presence of incontinence. RESULTS: the functional outcome was similar between the two groups in terms of stool fequency medication use, anal discrimination and the voluntary inhibition of evacuation for more than 5 hours. A trend to present seepage was seen in patients with complications (34%) more than in those without them (20%; p<0.08 NS). Compared with group II, seepage in group I was significantly related with dietary lapses (p<0.01). The most frequent complication in incontinent patients was pelvic sepsis (56%). CONCLUSIONS: our study showed that most of long-term functional parameters are not influenced by the presence of postoperative complications. However, a trend for incontinence seems to be related to postoperative complications, more frequently with pelvic sepsis.

[Long term functional outcomes after ileoanal pouch in patients with and without postoperative complications] Publishing Authors By Initials

U Gualdrini,M Coraglio,L Filippa,G Masciangioli,A ,C Lumi,A Graziano,

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[Long term functional outcomes after ileoanal pouch in patients with and without postoperative complications] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Acta gastroenterologica Latinoamericana

VOLUME: 37

Page Numbers: 143-9

Journal Abbreviation: Acta Gastroenterol. Latinoam.

ISSN: 0300-9033

DAY: 24

MONTH: Sep

YEAR: 2007

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LANGUAGE: spa

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AFFILIATION: Unidad de Proctologia, Hospital de Gastroenterología, Dr Carlos Bonorino Udaondo, Ciudad Autónoma de Buenos Aires, Argentina. uagualdrini@fibertel.com.ar

Country: Argentina

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MEDLINETA: Acta Gastroenterol Latinoam

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