Does an ileoanal pouch offer a better quality of life than a permanent ileostomy for patients with ulcerative colitis?

John Camilleri-Brennan, Alexander Munro, Robert J. C. Steele

    Research output: Contribution to journalArticlepeer-review

    64 Citations (Scopus)

    Abstract

    Although an ileoanal pouch is frequently offered to patients with ulcerative colitis, it is still not clear to what extent this operation offers advantages over a permanent ileostomy. The aim of this study was to determine whether patients with a pouch have less morbidity and a better quality of life than a matched group of patients with a Brooke ileostomy. Nineteen patients (12 males and 7 females, median age 41 years) who had undergone total colectomy and ileoanal pouch formation for ulcerative colitis were individually matched with patients who had had a panproctocolectomy and ileostomy; patients were matched for disease process, sex, age, socioeconomic status, and time since surgery. Quality of life was assessed using the Short-Form 36 version 2 questionnaire, the inflammatory bowel disease questionnaire, and a few additional questions on perception of body image. The scores were compared using the nonparametric Wilcoxon signed-rank test for paired samples. The number and type of postoperative complications, as well as the number of operative stages, were recorded prospectively. Restorative proctocolectomy was associated with a significantly better perception of body image than a permanent stoma, although quality of life in general was similar in both groups. Patients with a pouch had more long-term complications than patients with an ileostomy within the same period of time (52.6% vs. 26.3%). The median number of stages for pouch construction was two, compared to a median of one stage for an ileostomy (P
    Original languageEnglish
    Pages (from-to)814-9
    Number of pages6
    JournalJournal of Gastrointestinal Surgery
    Volume7
    Issue number6
    DOIs
    Publication statusPublished - 10 Jan 2003

    Keywords

    • Adult
    • Colitis, Ulcerative
    • Female
    • Humans
    • Ileostomy
    • Male
    • Proctocolectomy, Restorative
    • Quality of Life
    • Questionnaires
    • Statistics, Nonparametric
    • Treatment Outcome

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