May 26, 2001

A prospective evaluation of health-related quality of life after ileal pouch anal anastomosis for ulcerative colitis

The American Journal of Gastroenterology
A J MuirD Provenzale

Abstract

The ileal pouch anal anastomosis is a safe and effective procedure but is also associated with pouchitis, small bowel obstruction, and incontinence. We prospectively evaluated the health-related quality of life using generic and disease-specific measures in a cohort of patients with ulcerative colitis undergoing ileal pouch anal anastomosis. Health-related quality of life measures included the Time Trade-off, Rating Form of IBD Patient Concerns, and the Short-Form 36. Assessments occurred preoperatively and 1, 6, and 12 months postoperatively. Time Trade-off scores had significantly improved at the 1-month postoperative assessment and approached perfect health at the 12-month postoperative assessment. The Rating Form of IBD Patient Concerns revealed a significant reduction in patient concerns at 1 month, and this difference persisted at 6 and 12 months. Seven of the eight subscales of the Short-Form 36 revealed improved health-related quality of life postoperatively. Health-related quality of life improved after ileal pouch anal anastomosis when assessed with both generic and disease-specific measures. Improvements were observed as early as 1 month postoperatively. These results may guide patients and physicians as they conside...Continue Reading

  • References13
  • Citations48

References

  • References13
  • Citations48

Citations

Mentioned in this Paper

Health Status
Body Parts - Ileostomy
Anatomical Anastomosis
Ileal Pouches
Proctocolectomy, Restorative
Cancer Remission
Defecation
Ileal Diseases
Anastomosis
Small Bowel Obstruction

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