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Clinical and functional results after restorative proctocolectomy.

M Pescatori1, C Mattana, M Castagneto

  • 1Istituto di Clinica Chirurgica, Università Cattolica, Policlinico A., Gemelli, Roma, Italy.

The British Journal of Surgery
|April 1, 1988
PubMed
Summary

Restorative proctocolectomy with ileoanal reservoir surgery shows a low failure rate. Postoperative complications include sepsis and bowel obstruction, but functional outcomes like continence are generally favorable.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Restorative proctocolectomy with ileoanal reservoir is a surgical option for various lower gastrointestinal conditions.
  • Patient outcomes and complication rates following this procedure require comprehensive evaluation.

Purpose of the Study:

  • To assess the safety and efficacy of restorative proctocolectomy with ileoanal reservoir.
  • To evaluate postoperative complications, functional outcomes, and patient satisfaction.

Main Methods:

  • A multicenter study involving 84 patients undergoing restorative proctocolectomy with ileoanal reservoir.
  • Follow-up data collected for 58 patients after ileostomy closure, ranging from 2 to 78 months.

Main Results:

  • No operative deaths; a 3% pouch excision rate.

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  • Common complications included sepsis (15%) and small-bowel obstruction (10%). Clinical pouchitis occurred in 14% of patients.
  • Average defecation frequency was four per 24 hours, with spontaneous evacuation in all patients. Fecal soiling and incontinence rates were relatively low.

    • Conclusions:

    • Restorative proctocolectomy with ileoanal reservoir is a safe procedure with acceptable functional outcomes.
    • While complications like sepsis and pouchitis can occur, the majority of patients achieve good continence and quality of life.