Pelvic reservoir with S-pouch: can surgeons evaluate the results of their own operations?
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Updated: Oct 8, 2026

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Published on: May 19, 2022
T Ljung1, U Monsén, R Hultcrantz
1Department of Hepatology, Karolinska Hospital, Stockholm, Sweden.
Purpose:
This study was designed to evaluate whether operating surgeons could follow up the functional outcome of their own operations, without bias, by using standardized methods at follow-up.
Methods:
Fifty-five patients who received a pelvic reservoir with an S-pouch were evaluated regarding functional outcome after at least one year postoperative follow-up. The functional surgical outcome was evaluated by an internist especially trained in gastroenterology and the operating surgeon by using a standardized scale comprising eight functional variables.
Results:
None of the variables analyzed reached statistically significant difference between the two observers, and a high degree of agreement could be shown by using kappa and weighted kappa analysis.
Conclusions:
Our results indicate that it is possible for an operating surgeon to assess the postoperative surgical outcome using standardized methods at follow-up.

