title: [Quality of life after ileo-anal anastomosis].
abstract: 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.
authors.affiliation: Departamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, D.F. takahashit@infosel.net.mx
authors.forename: Takeshi
authors.initials: T
authors.lastname: Takahashi
authors.forename: Sergio
authors.initials: S
authors.lastname: Ponce de León
authors.forename: Sergio
authors.initials: S
authors.lastname: Cárdenas
authors.forename: José María
authors.initials: JM
authors.lastname: Remes
authors.forename: Sandra
authors.initials: S
authors.lastname: García-Osogobio
authors.forename: Juan
authors.initials: J
authors.lastname: Camilo Barreto
authors.forename: Xeily
authors.initials: X
authors.lastname: Zárate Díaz
mesh_terms: 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