Journal article

Determinants of long-term function and general well-being in patients with an ileoanal pouch

Angela J Khera, Janet W Chase, Michael Salzberg, Alexander J Thompson, Rodney J Woods, Amy Wilson-O'Brien, Michael A Kamm

JGH OPEN | WILEY | Published : 2021

Abstract

Background and aim: Fecal incontinence and/or evacuation difficulty are common after ileoanal pouch surgery. This study aimed to determine whether the development of these symptoms can be predicted so that preventive measures might be instituted. Methods: A consecutive series of 46 patients with ulcerative colitis (median age at surgery, 41 years; 50% female) and a functioning pouch for a duration ≥12 months was included. Assessment utilized medical record review and questionnaires on pre- and postoperative bowel function, quality of life, and psychological well-being. Pouch function was assessed by the Colorectal Functional Outcome score (0 = no impairment, 100 = worst impairment). Good pou..

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