[Short-term and long-term postoperative complications after ileal pouch-anal anastomosis in familial adenomatous polyposis].
BACKGROUND
Restorative proctocolectomy is the procedure of choice to treat familial adenomatous polyposis, however it can be associated to short-term and long-term postoperative complications.


OBJECTIVE
To evaluate the occurrence of complications related to the surgical treatment of familial adenomatous polyposis with ileal pouch technique.


METHODS
Retrospective study of 69 patients with familial adenomatous polyposis after rectocolectomy with ileal reservoir between 1984 and 2006, operated on Coloproctology Group, Medical Sciences Faculty, State University of Campinas, Campinas, SP, Brazil. The median follow-up period was 82 (2-280) months. Data obtained were surgical techniques and postoperative complications.


RESULTS
The morbidity and mortality were 63.8% and 2.9%, respectively. The most frequent complications were small-bowel obstruction (17.4%), anastomotic stricture (15.9%) and pelvic sepsis (10.1%). Acute ischemia of the ileal pouch (4.3%), pouchitis (2.9%) and ileal pouch-related fistula (2.9%) had poorer frequency than others.


CONCLUSIONS
The morbid-mortality was similar to the literatures data and it is acceptable for a complex surgery in two terms like the ileal reservoir-anal anastomosis. The small-bowel obstruction was the most frequent complication. However, ischemia of the reservoir, pouchitis and pelvic sepsis were important complications and was related to the failure of the ileal reservoir.
Leal
Raquel Franco
RF
Grupo de Coloproctologia, Disciplina de Moléstias do Aparelho Digestório, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP. raquelleal@mpc.com.br
Ayrizono
Maria de Lourdes Setsuko
Mde L
Coy
Cláudio Saddy Rodrigues
CS
Fagundes
João José
JJ
Góes
Juvenal Ricardo Navarro
JR
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D039021:Colonic Pouches / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies