Long-term function and manovolumetric characteristics after ileal pouch–anal anastomosis for ulcerative colitis

2007 ◽  
Vol 94 (3) ◽  
pp. 327-332 ◽  
Author(s):  
J. Bengtsson ◽  
L. Börjesson ◽  
U. Lundstam ◽  
T. Öresland
2019 ◽  
Vol 13 (Supplement_1) ◽  
pp. S345-S345
Author(s):  
P Chandrasinghe ◽  
M Carvello ◽  
K Wasmann ◽  
P Tanis ◽  
J Warusavitarne ◽  
...  

2010 ◽  
Vol 12 (10Online) ◽  
pp. e283-e290 ◽  
Author(s):  
H. H. Wasmuth ◽  
G. Tranø ◽  
T. M. Midtgård ◽  
A. Wibe ◽  
B. H. Endreseth ◽  
...  

2014 ◽  
Vol 8 ◽  
pp. S424 ◽  
Author(s):  
J.M. Bakia ◽  
P.H.A. Bours ◽  
D.M.A.E. Jonkers ◽  
L.W.E. van Heurn ◽  
M.J. Pierik ◽  
...  

2019 ◽  
Vol 14 (6) ◽  
pp. 726-733 ◽  
Author(s):  
Pramodh Chandrasinghe ◽  
Michele Carvello ◽  
Karin Wasmann ◽  
Caterina Foppa ◽  
Pieter Tanis ◽  
...  

Abstract Background The transanal approach to ileal pouch-anal anastomosis [Ta-IPAA] provides better access to the lower pelvis with lower short-term morbidity in ulcerative colitis [UC]. The aim of this study was to assess the long-term functional outcomes after Ta-IPAA vs transabdominal IPAA [Abd-IPAA] in UC. Methods A multicentre cohort analysis was performed between March 2002 and September 2017. Patient characteristics, surgical details and postoperative outcomes were compared. CGQL [Cleveland global quality of life] score at 12 months with a functioning pouch was considered the primary end point. Results A total of 374 patients [100 Ta-IPAA vs 274 Abd-IPAA] were included. Ta-IPAA demonstrated a comparable overall quality of life [CGQL score] to Abd-IPAA [0.75 ± 0.11 vs 0.71 ± 0.14; respectively, p = 0.1]. Quality of life [7.71 ± 1.17 vs 7.30 ± 1.46; p = 0.04] and energy-level items [7.16 ± 1.52 vs 6.66 ± 1.68; p = 0.03] were significantly better after Ta-IPAA, while the quality of health item was comparable [7.68 ± 1.26 vs 7.64 ± 1.44; p = 0.96]. Analysis excluding anastomotic leaks did not change the overall CGQL scores. Stool frequencies [>10/24 h: 22% vs 21%; p = 1.0] and the rate of a single episode of major incontinence during the following 12-month period [27% vs 26%; p = 0.89] were similar. The differences in 30-day morbidity rates [33% vs 41%; p = 0.2] and anastomotic leak rates were not significant [6% vs 13%; p = 0.09]. Conclusions This study provides evidence of comparable long-term functional outcome and quality of life after Ta-IPAA and Abd-IPAA for UC.


2017 ◽  
Vol 12 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Anders Mark-Christensen ◽  
Rune Erichsen ◽  
Søren Brandsborg ◽  
Jacob Rosenberg ◽  
Niels Qvist ◽  
...  

2017 ◽  
Vol 11 (suppl_1) ◽  
pp. S267-S267
Author(s):  
F.S. Macaluso ◽  
F. Rossi ◽  
A. Orlando ◽  
C. Sapienza ◽  
E. Sinagra ◽  
...  

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