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DC Field | Value | Language |
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dc.contributor.author | Chandrasinghe, P. | |
dc.contributor.author | Carvello, M. | |
dc.contributor.author | Wasmann, K. | |
dc.contributor.author | Tanis, P. | |
dc.contributor.author | Warusavitarne, J. | |
dc.contributor.author | Spinelli, A. | |
dc.contributor.author | Bemelman, W. | |
dc.date.accessioned | 2023-05-28T12:40:26Z | |
dc.date.available | 2023-05-28T12:40:26Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Colorectal Disease. 2019; 21(S3): 6-7 | en_US |
dc.identifier.issn | 1462-8910 (Print) | |
dc.identifier.issn | 1463-1318 (Electronic) | |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/26337 | |
dc.description | Free Paper Abstract (FP05) of the 14th Scientific and Annual Meeting of the European Society of Coloproctology, September 25–27 2019, Vienna, Austria | en_US |
dc.description.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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Wiely-Blackwell | en_US |
dc.subject | Colitis, Ulcerative | en_US |
dc.subject | Colitis, Ulcerative-surgery | en |
dc.subject | Anastomosis, Surgical | en |
dc.subject | Colonic Pouches | en |
dc.subject | Cohort Studies | en |
dc.title | Long-term function after transanal versus transabdominal ileal pouch-anal anastomosis for ulcerative colitis: a multicenter cohort study | en_US |
dc.type | Conference Abstract | en_US |
dc.creator.corporateauthor | The Association of Coloproctology of Great Britain and Ireland | en |
Appears in Collections: | Conference Papers |
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