Early functional outcome after restorative proctocolectomy and formation of an ileoanal pouch is known to be good.
However, there are minimal data on the long-term function of the pouch.
Dr Wheeler and colleagues from England studied the long-term functional outcome in patients who had undergone restorative proctocolectomy and formation of an ileoanal pouch.
The researchers identified a total of 151 consecutive patients, of which 96 were males and 55 were females.
|74% of patients following pouch surgery had perfect continence during the day|
|Diseases of the Colon & Rectum|
The included patients had undergone ileoanal pouch surgery between 1983 and 1993.
The research team appraised functional outcomes from the previous 12 months by a standardized questionnaire.
The team reported that the median age at surgery was 31 years, with a median follow-up of 142 months.
The researchers noted that 18 patients had their pouches excised, with another patient being defunctioned, concluding that 19 had suffered pouch failure.
Altogether, the team reported that 115 patients were available for follow-up, and 98 patients returned questionnaires, giving an 85 % response rate.
The median pouch-emptying frequency was 5 times during the day and 1 time at night.
The team found that a total of 74% of patients had perfect continence during the day.
The researchers noted that most of the patients had no life-style restrictions related to the pouch, and 98% of patients would recommend a pouch to others.
Dr Wheeler and team concludes, “ Long-term functional outcome after ileoanal pouch surgery is good in most patients.”
“For patients requiring proctocolectomy, ileoanal pouch surgery can now be recommended as an excellent long-term option.”