Quality of life after ileal pouch-anal anastomosis and ileorectal anastomosis in patients with familial adenomatous polyposis

Imran HASSAN; Heidi K CHUA; Bruce G WOLFF; Stephanie F DONNELLY; Roger R DOZOIS; Dirk R LARSON; Cathy D SCHLECK; Heidi NELSON

doi:10.1007/s10350-005-0169-7

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Quality of life after ileal pouch-anal anastomosis and ileorectal anastomosis in patients with familial adenomatous polyposis

Journal article

Peer reviewed

Quality of life after ileal pouch-anal anastomosis and ileorectal anastomosis in patients with familial adenomatous polyposis

Imran HASSAN, Heidi K CHUA, Bruce G WOLFF, Stephanie F DONNELLY, Roger R DOZOIS, Dirk R LARSON, Cathy D SCHLECK and Heidi NELSON

Diseases of the colon & rectum, Vol.48(11), pp.2032-2037

2005

DOI: 10.1007/s10350-005-0169-7

PMID: 16374935

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Abstract

Purpose: Differences in conventional outcomes such as functional results and the rate of complications have caused a controversy about whether the ileal pouch anal anastomosis or the ileorectal anastomosis is the preferred surgical treatment for patients with familial adenomatous polyposis. We therefore sought to ascertain not only the surgical results but also the perceptions of patients about their outcomes. Methods: Between 1981 and 1998, 152 patients at our institution had an ileal pouch-anal anastomosis and 32 patients had an ileorectal anastomosis for familial adenomatous polyposis. Of these 184 patients, 173 were sent a study-specific quality-of-life questionnaire and the Short Form 36 health survey to determine their health-related quality of life. Results: Ninety-four ileal pouch patients and 21 ileorectal patients returned the surveys. No difference was found in early postoperative complications, 5-year probability for complications, or functional results after either procedure. On the Short Form 36 health survey, the ileorectal patients had a lower mental health summary score compared with that of the ileal pouch patients but a similar physical health summary score. The study-specific questionnaire found both groups to have a comparable quality of life. Conclusion: Because ileal pouch-anal anastomosis has the advantage of removing as much at-risk tissue as possible with similar functional results and better mental health, it may be considered the preferred operation for most patients with familial adenomatous polyposis.

Tumors

Gastroenterology. Liver. Pancreas. Abdomen

Stomach. Duodenum. Small intestine. Colon. Rectum. Anus

Biological and medical sciences

Medical sciences

Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases

Surgery of the digestive system

Stomach, duodenum, intestine, rectum, anus

Details

Title: Subtitle: Quality of life after ileal pouch-anal anastomosis and ileorectal anastomosis in patients with familial adenomatous polyposis
Creators: Imran HASSAN - Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, United States
Heidi K CHUA - Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, United States
Bruce G WOLFF - Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, United States
Stephanie F DONNELLY - Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, United States
Roger R DOZOIS - Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, United States
Dirk R LARSON - Section of Biostatistics, Mayo Clinic, Rochester, Minnesota, United States
Cathy D SCHLECK - Section of Biostatistics, Mayo Clinic, Rochester, Minnesota, United States
Heidi NELSON - Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota, United States
Resource Type: Journal article
Publication Details: Diseases of the colon & rectum, Vol.48(11), pp.2032-2037
Publisher: Springer; Secaucus, NJ
DOI: 10.1007/s10350-005-0169-7
PMID: 16374935
ISSN: 0012-3706
eISSN: 1530-0358
Language: English
Date published: 2005
Academic Unit: Surgery
Record Identifier: 9984051704102771

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