Quality of life in patients undergoing ileal pouch-anal anastomosis at the University of Cincinnati

Bruce Robb, Timothy Pritts, Gyu Gang, Brad Warner, Connie Seeskin, Marilyn Stoops, Laura James, Janice Rafferty, Richard Azizkhan, Lester Martin, Michael Nussbaum

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

Background: In 1978, Drs. Fischer and Martin were among the first to preserve anorectal continence and create a pelvic reservoir in adult patients, in what has become the ileal pouch-anal anastomosis (IPAA). Methods: Here we review our institutions' experience with 379 of these procedures from 1978 to present. To assess the specific health concerns of patients with ulcerative colitis (UC) and familial adenomatous polyposis (FAP) and determine the effects of IPAA on health-related quality of life, we evaluated patients with the SF-36, the Rating Form of Inflammatory Bowel Disease Patient Concerns (RFIPC), time trade-off questions, and a gamble question. Results: IPAA patients did not differ from the general population in seven of eight general health categories assessed by the SF-36. When compared with the UC population as a whole using the RFIPC they had reduced concerns in almost all areas. In addition, time trade-off and gamble questions indicated that these patients, as a group, are willing to accept a significant risk of dying in order to achieve their results of the IPAA. Conclusions: This high level of satisfaction has led to the referral of patients who would not have otherwise considered a procedure requiring permanent ileostomy.

Original languageEnglish (US)
Pages (from-to)353-360
Number of pages8
JournalAmerican Journal of Surgery
Volume183
Issue number4
DOIs
StatePublished - May 7 2002
Externally publishedYes

Keywords

  • Continence
  • Familial adenomatous polyposis
  • IPAA
  • Ileal pouch-anal anastomosis
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery

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    Robb, B., Pritts, T., Gang, G., Warner, B., Seeskin, C., Stoops, M., James, L., Rafferty, J., Azizkhan, R., Martin, L., & Nussbaum, M. (2002). Quality of life in patients undergoing ileal pouch-anal anastomosis at the University of Cincinnati. American Journal of Surgery, 183(4), 353-360. https://doi.org/10.1016/S0002-9610(02)00804-8