title: [Short-term and long-term postoperative complications after ileal pouch-anal anastomosis in familial adenomatous polyposis].
abstract: 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.
authors.affiliation: Grupo de Coloproctologia, Disciplina de Moléstias do Aparelho Digestório, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP. raquelleal@mpc.com.br
authors.forename: Raquel Franco
authors.initials: RF
authors.lastname: Leal
authors.forename: Maria de Lourdes Setsuko
authors.initials: Mde L
authors.lastname: Ayrizono
authors.forename: Cláudio Saddy Rodrigues
authors.initials: CS
authors.lastname: Coy
authors.forename: João José
authors.initials: JJ
authors.lastname: Fagundes
authors.forename: Juvenal Ricardo Navarro
authors.initials: JR
authors.lastname: Góes
mesh_terms: 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