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.
Arai
Katsuhiko
K
Department of Surgery, Yokohama City Hospital, Hodogaya, Yokohama 240-0855, Japan. arai@zd5.so-ney.ne.jp
Koganei
Kazutaka
K
Kimura
Hideaki
H
Akatani
Minako
M
Kitoh
Fumihiko
F
Sugita
Akira
A
Fukushima
Tsuneo
T
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