Please use this identifier to cite or link to this item:
http://repository.kln.ac.lk/handle/123456789/26337
Title: | Long-term function after transanal versus transabdominal ileal pouch-anal anastomosis for ulcerative colitis: a multicenter cohort study |
Authors: | Chandrasinghe, P. Carvello, M. Wasmann, K. Tanis, P. Warusavitarne, J. Spinelli, A. Bemelman, W. |
Keywords: | Colitis, Ulcerative Colitis, Ulcerative-surgery Anastomosis, Surgical Colonic Pouches Cohort Studies |
Issue Date: | 2019 |
Publisher: | Wiely-Blackwell |
Citation: | Colorectal Disease. 2019; 21(S3): 6-7 |
Abstract: | AIM:The novel transanal approach to ileal pouch-anal anastomosis (ta-IPAA) provides better exposure with lower short-term morbidity in ulcerative colitis (UC). The aim of this study was to assess the long-term outcomes after ta-IPAA versus abdominal IPAA (abd-IPAA) in UC. METHOD:This is a multicentre cohort analysis between March 2002 and September 2017. Patient characteristics, surgical details and postoperative outcomes were compared. The primary end-point was CGQL (Cleveland Global Quality of Life) score at 12 months. RESULTS:374 patients (100 ta-IPAA vs 274 abd-IPAA) were included. Mean CGQL scores were comparable between the two groups (0.75 ± 0.11 vs 0.71 ± 0.14; respectively, P = 0.1). Quality of life (7.71 ± 1.17 vs 7.30 ± 1.46; P = 0.04) and energy level (7.16 ± 1.52 vs 6.66 ± 1.68; P = 0.03) were significantly better after ta-IPAA, while the quality of health item was comparable (7.68 ± 1.26 vs 7.64 ± 1.44; P = 0.9655). Stool frequencies (> 10/24 h:22% vs 21%; P = 1.0) and major incontinence rates (27% vs 26%; P = 0.89) were similar. Thirty-day morbidity rates (33% vs 41%; P = 0.2) and anastomotic leak rates were comparable (6% vs 13%; P = 0.09). CONCLUSION: This study, for the first time, provides evidence of comparable long-term functional outcome of ta-IPAA vs abd-IPAA for UC. |
Description: | Free Paper Abstract (FP05) of the 14th Scientific and Annual Meeting of the European Society of Coloproctology, September 25–27 2019, Vienna, Austria |
URI: | http://repository.kln.ac.lk/handle/123456789/26337 |
ISSN: | 1462-8910 (Print) 1463-1318 (Electronic) |
Appears in Collections: | Conference Papers |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.