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 23 February 2018

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News

Patient quality of life after successful restorative proctocolectomy is normal

The quality of life of patients who have undergone ileal pouch-anal anastomosis for chronic ulcerative colitis is within the normal range, claims a team from Manchester, England.

News image

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The researchers measured the quality of life (QoL) of patients, following ileal pouch-anal anastomosis (IPAA) for chronic ulcerative colitis.

They reported their findings in July's issue of Colorectal Disease.

77 patients who had an IPAA between 1986 and 1997 were identified. Of these, 13 patients were excluded from the study.

A postal survey using SF36 and EuroQol questionnaires was conducted. Age, sex, year of pouch construction and stool frequency were documented.

56 patients (88%) replied to the survey. The male:female ratio was 3:2, and the median age was 34 years.

The median time since pouch construction was 4 years.

The researchers found that all SF36 and EuroQol scores were within the normal range.

The median SF36 scores for physical function, physical role and body pain were 87 (range, 0-100), 82 (0-100) and 78 (22-100), respectively. Scores were also noted for general health (62; range, 5-100), vitality (58; 5-100), social function (75; 25-100), emotional role (84; 0-100) and mental health (71; 16-100).

The median EuroQol score was found to be 0.85 (range, -0.07-1.0). Median EuroQol thermometer score was 83 (20-100).

QoL after surgery was not affected by:
Age
Gender
Stool frequency
Year of pouch construction
Colorectal Disease

There was no correlation between objective QoL score and age, gender, stool frequency and year of pouch construction.

Author D. M. Richards, of the Hope Hospital, Manchester, concluded on behalf of the group, 'The quality of life for these patients, measured using validated health status instruments, is normal.'

"Age, gender, stool frequency and year of pouch construction do not affect quality of life outcome after the ileal pouch-anal anastomosis for ulcerative colitis."

Colorectal Disease 2001; 3 (4): 223-226
15 June 2001

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