Incidence and outcome of complications following restorative proctocolectomy.
BACKGROUND
Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy.


METHODS
In 96.3% of patients, the pouch was anastomosed using the double stapling method. A total of 44.6% of patients underwent restorative proctocolectomy in 1 stage without ileostomy and 53% in 2 stages. Complications were divided into 2 stages: early (within 1 month) and late (after 1 month); moreover, the annual incidences were calculated, mean onset time, and pouch survival rate.


RESULTS
The overall incidence of complications was 52.7%. Early complications (13.2%) occurred significantly less often than late complications (46.3%) (P < .05). Thirty-five (17.7%) of 198 complications required surgery. The cumulative 5- and 10-year pouch survival rate was 99%, respectively.


CONCLUSIONS
The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high.
Department of Surgery, Yokohama City Hospital, Hodogaya, Yokohama 240-0855, Japan. arai@zd5.so-ney.ne.jp
Katsuhiko
K
Arai
Kazutaka
K
Koganei
Hideaki
H
Kimura
Minako
M
Akatani
Fumihiko
F
Kitoh
Akira
A
Sugita
Tsuneo
T
Fukushima
D000328:Adult; D017677:Age Distribution; D016009:Chi-Square Distribution; D015331:Cohort Studies; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D011336:Probability; D016737:Proctocolectomy, Restorative / Q000009:adverse effects* / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D017678:Sex Distribution; D018709:Statistics, Nonparametric