[Restorative proctocolectomy with J-pouch reservoir. Experience in a national medical center].
OBJECTIVE
To present the experience for morbidity and mortality of surgical treatment of chronic ulcerative colitis (CUC) and familiar adenomatous polyposis (FAP) with restorative proctocolectomy with J-pouch.


METHODS
We used a cases series of patients treated consecutively from January 1993 to December 2003. Selection criteria were patients with J-pouch restorative proctocolectomy with CUC and FAP who were treated and assessed prospectively.


RESULTS
There were 16 cases treated with restorative proctocolectomy (nine males and seven females). Diagnosis of inflammatory bowel disease was established in 12 patients, and 4 with familiar adenomatous polyposis. Age average was 33 years. All cases had protective ileostomy. Seven patients developed at least one complication such as pelvic abscess, uretheral transection, pulmonary thromboembolism, hemoperitoneum, persistent transrectal bleeding, wound infection and sexual impotence. Only four patients required surgical reintervention. The median hospital stay was 11.9 days. Average bowel movements at 3 month-follow-up was 10.1, at 6 months 6.6. Medium average follow-up was 44.25 months. There was no mortality.


CONCLUSIONS
Results of this study demonstrated adequate quality of life and appropriate functional results; rate of morbidity was acceptable with no mortality.independent of morbidity there was no mortality. Long-term follow up is necessary to identify long-term-late complications.
Durán-Ramos
Oscar
O
Departamento de Coloproctología, Centro Médico Nacional de Occidente, Hospital de Especialidades, José Enriques Rodó 2558, Col. Prados Providencia, 44670 Guadalajara, Jalisco, México.
Palomares-Chacón
Ulises Rodrigo
UR
Pulido-García
Livia Ruth
LR
Farías-Llamas
Oscar Alejandro
OA
López-Ramírez
María Karina Lizbeth
MK
González-Ojeda
Alejandro
A
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative; D011446:Prospective Studies; D011788:Quality of Life; D012086:Reoperation; D013997:Time Factors