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Quality of life after pouch excision
H T Tan1, D Morton, A B Connolly
1University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Background:
Pouch excision is a devastating experience for patients having restorative proctocolectomy for ulcerative colitis.
Methods:
The quality of life among patients having pouch excision for ulcerative colitis was compared with that in those having proctocolectomy and ileostomy for ulcerative colitis using a validated standardized self-administered questionnaire.
Results:
After pouch excision patients (n = 9) had more troublesome bowel symptoms (mainly from liquid stoma output) than those in the proctocolectomy group (n = 14) (mean(s.d.) score 5.64(0.92) versus 6.13(0.37), P = 0.03). However, the mean scores for the other parameters (systemic symptoms, functional, social and emotional impairment) did not differ significantly.
Conclusion:
Patients having pouch excision for ulcerative colitis have more liquid ileostomy loss but a comparable quality of life to those treated by standard proctocolectomy and ileostomy.