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The functional outcome and factors influencing the quality of life after ileal pouch anal anastomosis in patients with ulcerative colitis

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Abstract

Purpose

The aim of this study was to assess the bowel function and quality of life (QOL) in patients with ulcerative colitis (UC) after total proctocolectomy with ileal pouch anal anastomosis (IPAA).

Methods

Two questionnaires [“Questionnaire sheet on the bowel function” and “Inflammatory bowel disease questionnaire (Japanese IBDQ)”] were sent to 121 patients with UC who underwent IPAA at Tohoku University Hospital. Seventy-nine patients (65%) participated in the study.

Results

The median number of daily bowel movements was 6.5, which significantly decreased with postoperative time (≤ 1, 1–5, 5–15 years) and increased with age (< 45, ≥ 45 years at colectomy). The ratio of patients who usually had bowel movements at night also significantly decreased with postoperative time and increased with age. The median total IBDQ score was 180. A multivariate analysis showed that “trip activity”, “care about where the restroom is”, and “bowel movements in the day” were significant independent risk factors for the daily life satisfaction score.

Conclusions

The bowel function and QOL were acceptable in patients with UC after IPAA; however, patients with a short postoperative time or older age had a lower functional outcome than others.

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Authors and Affiliations

  1. Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan

    Kazuhiro Watanabe, Munenori Nagao, Hideyuki Suzuki, Hideaki Karasawa, Shinobu Ohnuma, Hiroaki Musha, Takashi Kamei, Takeshi Naitoh & Michiaki Unno

  2. Department of Surgery, Sendai Red Cross Hospital, Sendai, Japan

    Yuji Funayama

Authors
  1. Kazuhiro Watanabe
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  2. Munenori Nagao
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  3. Hideyuki Suzuki
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  4. Hideaki Karasawa
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  5. Shinobu Ohnuma
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  6. Hiroaki Musha
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  7. Yuji Funayama
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  8. Takashi Kamei
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  9. Takeshi Naitoh
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  10. Michiaki Unno
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Contributions

Conception and design: YF and KW. Acquisition of data, analysis and interpretation of data: KW and MN. Drafting the article or revising it critically for important intellectual content: KW, MN, TA, SO, HM, TK, and TN. Final approval of the version to be published: MU.

Corresponding author

Correspondence to Kazuhiro Watanabe.

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Conflict of interest

The authors have no conflicts of interest to disclose for this study.

Funding

The authors received no financial support for this study.

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Watanabe, K., Nagao, M., Suzuki, H. et al. The functional outcome and factors influencing the quality of life after ileal pouch anal anastomosis in patients with ulcerative colitis. Surg Today 48, 455–461 (2018). https://doi.org/10.1007/s00595-017-1613-8

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  • DOI: https://doi.org/10.1007/s00595-017-1613-8

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