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Effect of Elective Sigmoidectomy for Diverticulitis on Bowel Function Patient-Reported Outcomes
Jenaya L Goldwag1, Racquel V Lyn2, Lauren R Wilson1
1Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Geisel School of Medicine, Hanover, New Hampshire.
The Journal of Surgical Research
|April 26, 2019
Summary
Elective sigmoid resection for diverticular disease did not significantly alter bowel function in patients during the early postoperative period. Surgeons should inform patients that bowel function scores are unlikely to change post-surgery.
Area of Science:
- Colorectal surgery
- Gastroenterology
- Surgical outcomes
Background:
- Diverticular disease is a prevalent global condition.
- Surgical resection is an option for symptomatic or complicated cases.
- Understanding postoperative bowel function is crucial for patient management.
Purpose of the Study:
- To evaluate changes in bowel function after elective sigmoid resection for diverticular disease.
- To provide data for patient counseling regarding surgical outcomes.
Main Methods:
- Retrospective review of 49 patients undergoing elective sigmoid resection.
- Utilized the Colorectal Functional Outcome (COREFO) questionnaire.
- Compared baseline and postoperative COREFO scores using a paired t-test.
Main Results:
- No significant differences were observed in any COREFO domains or the global score.
- Mean patient age was 60 years, with 57% females.
- 36 patients had sigmoidectomy alone; 13 had additional fistula repair.
Conclusions:
- Bowel function remains stable in the early postoperative phase after sigmoid resection for diverticular disease.
- Patients should be counseled that significant changes in bowel function are not expected postoperatively.
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