[Quality of life after ileo-anal anastomosis].
BACKGROUND
The ileo-anal pouch is the surgical procedure of choice for patients with Ulcerative Colitis or Familial Adenomatous Polyposis, but has functional limitations such as a higher frequency of bowel movements, anal leakage, and sometimes the necessity of a protective anal pad.


OBJECTIVE
To analyze the functional results and quality of life after the pelvic pouch.


METHODS
This is a descriptive, prolective, and cross-sectional study that analyzes the clinical variables, functional results and self-reported quality of life of patients after an ileo-anal pouch. A correlation between postoperative clinical variables and quality of life was searched.


RESULTS
Twenty-seven patients were included. Mean age was 36 years. Surgical indications for the ileo-anal pouch were Ulcerative Colitis in 17 (63%), Familial Adenomatous Polyposis in 9 (33%) and a colo-rectostomy stricture in 1 (4%). Mean number of bowel movements was 4 at day and 1 at night. Eighteen percent of patients referred anal leakage, 11% had pouchitis, and 11% small bowel obstruction. Most of the patients reported high scores in all evaluated quality of life scales. There was a correlation between lower scores of quality of life and a higher number of bowel movements.


CONCLUSIONS
The majority of patients reported an adequate quality of life after the ileo-anal pouch; there was a correlation between lower scores of quality of life and a higher number of bowel movements.
Takahashi
Takeshi
T
Departamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, D.F. takahashit@infosel.net.mx
Ponce de León
Sergio
S
Cárdenas
Sergio
S
Remes
José María
JM
García-Osogobio
Sandra
S
Camilo Barreto
Juan
J
Zárate Díaz
Xeily
X
D011125:Adenomatous Polyposis Coli / Q000601:surgery; D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery; D039021:Colonic Pouches; D003430:Cross-Sectional Studies; D003672:Defecation; D004688:Encopresis / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000523:psychology; D016737:Proctocolectomy, Restorative / Q000523:psychology*; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires