title: A comparison of function and patient satisfaction after restorative proctocolectomy for ulcerative colitis (UC) and familial adenomatous polyposis (FAP).
abstract: OBJECTIVE
  [corrected] Function after restorative proctocolectomy for UC and FAP varies. We assessed function, satisfaction and social activity in patients with ileal pouch-anal anastomosis and explored possible factors associated with poor function.
  
  
  METHODS
  We reviewed all case notes and sent postal questionnaires to 145 patients (121 UC, 24 FAP).
  
  
  RESULTS
  One hundred and twenty questionnaires were returned (98 UC and 22 FAP). The complication rate, particularly pouch failure, was higher in the UC group (UC 18·8%, FAP 8%). Functional outcome was similar: 74% of UC patients and 68% of FAP patients had an acceptable result. Although social activity was similar in the UC and FAP groups, satisfaction with the outcome was much less in the FAP group.
  
  
  CONCLUSIONS
  Patients, particularly with FAP, who are asymptomatic need to be told about the functional outcome they can expect, particularly bowel frequency and soiling. Restorative proctocolectomy may not be the best option for all FAP patients.
authors.affiliation: University Department of Surgery, Queen Elizabeth Hospital, Birmingham, UK.
authors.lastname: Körsgen
authors.lastname: Keighley