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Restorative proctocolectomy. Does ethnicity affect outcome?
Author(s) -
Norwood M. G. A.,
Mann C. D.,
West K.,
Miller A. S.,
Hemingway D.
Publication year - 2009
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 - 10.1111/j.1463-1318.2008.01727.x
Subject(s) - medicine , proctocolectomy , affect (linguistics) , ethnic group , outcome (game theory) , ulcerative colitis , disease , linguistics , philosophy , mathematics , mathematical economics , sociology , anthropology
Objective Restorative proctocolectomy (RPC) with ileal pouch‐anal anastomosis (IPAA) is well‐established in the management of ulcerative colitis (UC) and familial adenomatous polyposis (FAP). We review outcome of pouch surgery from a single centre, comparing non‐South Asian and South Asian Caucasian populations. Method Patients undergoing RPC for UC and FAP during a 10‐year period between January 1997 and January 2007 were identified from hospital records. Data were collected retrospectively from case notes on early and long‐term results. Results A total of 107 patients underwent pouch formation for UC (94%) or FAP (6%) and 22 (21%) were from the Asian subcontinent. Eighty‐seven (81%) underwent a three‐stage procedure and 20 (19%) a two‐stage procedure. Postoperative complications occurred in 40 (37%) patients, being major in 11 (10%) patients with relaparotomy required in 9 (8%) with no difference between South Asian and non‐South Asian Caucasian patients. Long‐term pouch function, with a median of five times over 24 h (range 2–15), was similar between the two groups. The incidence of pouchitis was 57 (53%) and this was significantly greater in the South Asian population [17/21 (77%); 39/86 (46%); P = 0.006]. Conclusion Surgical results were similar in South Asian and non‐South Asian Caucasian patients, but the incidence of pouchitis was greater in the former group.