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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.
The British Journal of Surgery
|March 21, 1998
Summary
Patients undergoing pouch excision for ulcerative colitis experienced more liquid stoma output. However, their overall quality of life remained comparable to those with standard proctocolectomy and ileostomy.
Area of Science:
- Gastroenterology
- Surgical outcomes
- Quality of life research
Background:
- Restorative proctocolectomy for ulcerative colitis can necessitate pouch excision.
- Pouch excision is often associated with significant patient distress.
Purpose of the Study:
- To compare the quality of life in patients who underwent pouch excision versus those who had a proctocolectomy with ileostomy for ulcerative colitis.
Main Methods:
- A validated, standardized self-administered questionnaire was used.
- Quality of life was assessed in two groups of ulcerative colitis patients: pouch excision (n=9) and proctocolectomy with ileostomy (n=14).
Main Results:
- Patients after pouch excision reported more troublesome bowel symptoms, specifically liquid stoma output (mean score 5.64 vs. 6.13, P=0.03).
- No significant differences were observed in systemic symptoms, functional, social, or emotional impairment between the groups.
Conclusions:
- Ulcerative colitis patients undergoing pouch excision experience increased liquid ileostomy output.
- Despite increased output, the overall quality of life is comparable between pouch excision and standard proctocolectomy with ileostomy.