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Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   2003 , Volume 8 , Number 3 (33); Page(s) 191 To 196.
 
Paper: 

RESULTS AND COMPLICATIONS OF ILEAL PUCH IN ULCERATIVE COLITIS AND FAMILIAL ADENOMATOUS POLYPOSIS, IMAM HOSSEIN HOSPITAL, 1996-2001

 
 
Author(s):  DAVAIE M.*, SHISHEH GAR A., FOUDAZI M.
 
* Department of Surgery, Shaheed Beheshti University of Medical Sciences
 
Abstract: 

Background: Restorative proctocolectomy and reconstruction of ileal puch and anastomosis to anus (IPAA) has become a standard surgery for patients with Ulcerative Colitis (UC) and familial adenomatous polyposis (FAP). The authors report the results of 6-year experience of this surgery at Imam hoseins Hospital with attention to complication of this surgery.
Materials and methods: Chart review was performed of 22 patients undergoing IPAA from 1996 though 2001. Initial data were obtained regarding patient demographics, type and duration of diseases, indication for surgery, complication and performance capability.
Results: Mean age of patients was 32 years. Histopathologic diagnosis was UC in 68% of FAP in 32%. The most common indication of surgery in UC was resistance to medical treatment an in FAP was multiple polyps. During a mean follow-up time of 2.5 years, the overall morbidity rate was 59% (13 patients). The most common complication was intestinal and then anal stricture, pouch vaginal or cutaneous fistula, and parapouch abscess. Postoperation relative complete continence was 90% and the others have leakage during asleep and in a very few patients during awakeness. However, quality of life was excellent in 82% and almost all were satisfied.
Conclusion: IPPA is a safe and useful procedure although total morbidity is appreciable, in hands of experience surgeons, functional results generally are good and patient satisfaction is high.

 
Keyword(s): ILEAL POUCH, ULCERATIVE COLITIS, FAMILIAL ADENOMATOUS POLYPOSIS
 
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