In this study, researchers from the United States assessed continence and quality of life after double-stapled ileal pouch-anal anastomosis and laparoscopic cholecystectomy.
The team randomly selected 55 patients from a prospective pelvic pouch database. These patients were matched with patients who had undergone laparoscopic cholecystectomy.
They used the Fecal Incontinence Severity Index and the Fecal Incontinence Quality of Life Scale to evaluate the patients. All patients were mailed the 2 questionnaires, and their responses were reviewed by an independent observer.
The researchers recorded demographics, duration since surgery, and functional results.
|Quality-of-life scores were very similar.|
|Diseases of the Colon and Rectum|
Overall, 51 pelvic pouch and 50 laparoscopic cholecystectomy patients completed the study.
They found that pouch patients reported a median of 6 bowel movements per day. In addition, 2 patients reported more than occasional nighttime incontinence.
They found that the mean incontinence scores were higher for the pelvic pouch patients than for the laparoscopic cholecystectomy patients (17.8 versus 10.7).
However, quality-of-life scores were very similar.
Drs Stefan Holubar and Neil Hyman concluded, "Although continence is clearly altered after pelvic pouch surgery, quality of life is extremely well preserved".