Intestinal Pouch Complications in Patients Who Underwent Restorative Proctocolectomy for Ulcerative Colitis and Familial Adenomatous Polyposis in 1985-2008

• Authors: Robert Burdyński , Tomasz Banasiewicz , Ryszard Marciniak , Maciej Biczysko , Jacek Szmeja , Jacek Paszkowski , Marcin Grochowalski , Jakub Maik , Przemysław Majewski , Piotr Krokowicz , Michał Drews
• Languages of publication: EN

Abstracts

EN

Restorative proctocolectomy is considered a surgical treatment of choice in ulcerative colitis (UC) and familial adenomatous polyposis (FAP).The aim of the study was to evaluate postoperative complications in patients who underwent surgery for familial adenomatous polyposis and ulcerative colitis, on the basis of a retrospective data analysis.Material and methods. Data of 138 patients after restorative proctocolectomy performed between 1985 and 2008 were collected at routine follow-up visits in 2004-2008. We evaluated the presence of pouchitis, the degree of ileal pouch mucosa atrophy, the presence of ileal pouch mucosal metaplasia, the presence of ileal pouch malignancies, the necessity for diverting ileostomy, the necessity for pouch resection, and severe faecal incontinence.Results. Complications were observed in 45 (32.4%) patients. Thirty-seven patients developed pouchitis (26.6%). Low-degree dysplasia, severe dysplasia or malignancies were observed in total in 20 patients (14.4%). Six (4.3%) operated patients developed other analysed complications.Conclusions. The most common complications of restorative proctocolectomy were dysplasia and pouchitis. The most common complication in patients operated for UC was pouchitis. The low observed incidence of intestinal pouchitis may be attributed to the implemented prophylaxis of inflammation. Dysplasia was the most common complication in patients undergoing proctocolectomy for FAP. Due to an increased risk of dysplastic lesions as compared with UC patients, careful endoscopic follow-up examinations are obligatory in this patient group. Other analysed complications were uncommon and were mostly a consequence of chronic pouchitis. Clinical symptoms of pouch-related problems were similar in both analysed groups.

Keywords

EN

proctocolectomy; ileal pouch; complications; familial adenomatous polyposis; ulcerative colitis

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 3
• Pages: 161-170

Dates

published

1 - 3 - 2011

online

2 - 5 - 2011

Contributors

author

Robert Burdyński

• Department of General and Colorectal Surgery, Medical University in Poznań

author

Tomasz Banasiewicz

• Chair and Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań

author

Ryszard Marciniak

• Chair and Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań

author

Maciej Biczysko

• Chair and Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań

author

Jacek Szmeja

• Chair and Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań

author

Jacek Paszkowski

• Chair and Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań

author

Marcin Grochowalski

• Department of General and Colorectal Surgery, Medical University in Poznań

author

Jakub Maik

• Department of General and Colorectal Surgery, Medical University in Poznań

author

Przemysław Majewski

• Department of General and Colorectal Surgery, Medical University in Poznań

author

Piotr Krokowicz

• Department of General and Colorectal Surgery, Medical University in Poznań

author

Michał Drews

• Chair and Department of General, Gastroenterological and Endocrynological Surgery, Medical University in Poznań

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Identifiers

DOI

10.2478/v10035-011-0025-5