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 22 February 2018

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News

Complications following restorative proctocolectomy

A study in the latest American Journal of Surgery shows that the rate of complications after restorative proctocolectomy is almost equivalent to other reports, but with a very high pouch survival rate.

News image

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Dr Arai and colleagues from Japan analyzed complications in 296 patients with ulcerative colitis who underwent restorative proctocolectomy.

The investigators anastomosed the pouch in 96% of patients using the double stapling method.

The investigative team reported a total of 45% of patients who underwent restorative proctocolectomy in 1 stage without ileostomy and 53% in 2 stages.

Early complications occur in 13% of patients but less often than late complications at 46%
American Journal of Surgery

The team divided complications into 2 stages including an early stage within 1 month, and a late stage after 1 month.

The annual incidences were calculated, as well as mean onset time, and pouch survival rate.

The investigators found that the overall incidence of complications was 53%.

Early complications occurred significantly less often than late complications, in 13% versus 46% of patients, respectively.

The investigators observed that 18% of complications required surgery.

The team noted that the cumulative 5- and 10-year pouch survival rate was 99%.

Dr Arai's team concludes, “The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high.”

Am J Surg 2005: 190(1): 39-42
29 June 2005

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