Open AccessQuality of life after pouch excision
Author(s) -
Tan H. T.,
Morton D.,
Connolly A. B.,
Pringle W.,
White M.,
Keighley M. R. B
Publication year - 1998
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1046/j.1365-2168.1998.00582.x
Subject(s) - proctocolectomy , medicine , ulcerative colitis , pouch , ileostomy , stoma (medicine) , quality of life (healthcare) , surgery , pouchitis , gastroenterology , disease , nursing
Background Pouch excision is a devastating experience for patients having restorative proctocolectomy for ulcerative colitis. Methods The quality of life among patients having pouch excision for ulcerative colitis was compared with that in those having proctocolectomy and ileostomy for ulcerative colitis using a validated standardized self‐administered questionnaire. Results After pouch excision patients ( n = 9) had more troublesome bowel symptoms (mainly from liquid stoma output) than those in the proctocolectomy group ( n = 14) (mean(s.d.) score 5·64(0·92) versus 6·13(0·37), P = 0·03). However, the mean scores for the other parameters (systemic symptoms, functional, social and emotional impairment) did not differ significantly. Conclusion Patients having pouch excision for ulcerative colitis have more liquid ileostomy loss but a comparable quality of life to those treated by standard proctocolectomy and ileostomy. © 1998 British Journal of Surgery Society Ltd