Outcome of pouch surgery for ulcerative colitis: single center experience.
OBJECTIVE
The purpose of the present study is to present the experience and evaluate the outcome of pouch surgery for patients with ulcerative colitis (UC).


METHODS
Fifty eight patients underwent surgery for UC between 1996 and 2007 at Mansoura Gastroenterology Center. A retrospective analysis has been done of all patients with UC undergoing surgery which includes details of the patient's history, indication of surgery, type of operation, postoperative morbidity, and functional outcome.


RESULTS
The main indication for operation was failed medical treatment (n=42, 72.4%). Pouch surgery was performed in 25/58 patients (43.1%). The majority of patients, 23/25 (92%) had J-shaped pouch and most patients, 19 (76%), underwent a stapled anastomosis. Twenty patients (80%) had a defunctioning ileostomy. There was one postoperative death after pouch surgery. Early complications after pouch surgery included pelvic sepsis (n=4), small bowel obstruction (n=2), pouch hemorrhage (n=1), wound sepsis (n=3). Long-term follow-up data were available for 14 patients. The most common long-term complication was anastomotic stricture (n=9, 42.6%). Five patients (35.7%) presented with pouchitis. Median daytime stool frequency was 5.1. Three patients (21.4%) presented with fecal incontinence.


CONCLUSIONS
Pouch surgery is a major one that attains many complications. However, the long term results and patient's satisfaction are reasonable.
El-Raouf
Ahmed Abd
AA
Gastroenterology Surgical Center, Mansoura University, Mansoura, Egypt.
Hak
Nabil GadEl
NG
Fathy
Omar
O
El-Ebidy
Gamal
G
Salah
Tarek
T
El-Hemaly
Mohamed
M
D000293:Adolescent; D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D016737:Proctocolectomy, Restorative; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult