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A comparison of function and patient satisfaction after restorative proctocolectomy for ulcerative colitis (UC) and familial adenomatous polyposis (FAP)
Author(s) -
Körsgen,
Keighley
Publication year - 1999
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1046/j.1463-1318.1999.00065.x
Subject(s) - medicine , proctocolectomy , familial adenomatous polyposis , ulcerative colitis , pouch , pouchitis , gastroenterology , asymptomatic , anastomosis , complication , surgery , colorectal cancer , disease , cancer
Obective Function after restorative proctocolectomy for UC and FAP varies. We assessed function, satisfaction and social activity in patients with ileal pouch‐anal anastomosis and explored possible factors associated with poor function. Patients and methods We reviewed all case notes and sent postal questionnaires to 145 patients (121 UC, 24 FAP). Results One hundred and twenty questionnaires were returned (98 UC and 22 FAP). The complication rate, particularly pouch failure, was higher in the UC group (UC 18·8%, FAP 8%). Functional outcome was similar: 74% of UC patients and 68% of FAP patients had an acceptable result. Although social activity was similar in the UC and FAP groups, satisfaction with the outcome was much less in the FAP group. Conclusion Patients, particularly with FAP, who are asymptomatic need to be told about the functional outcome they can expect, particularly bowel frequency and soiling. Restorative proctocolectomy may not be the best option for all FAP patients.