TY - JOUR
T1 - Quality of life in patients undergoing ileal pouch-anal anastomosis at the University of Cincinnati
AU - Robb, Bruce
AU - Pritts, Timothy
AU - Gang, Gyu
AU - Warner, Brad
AU - Seeskin, Connie
AU - Stoops, Marilyn
AU - James, Laura
AU - Rafferty, Janice
AU - Azizkhan, Richard
AU - Martin, Lester
AU - Nussbaum, Michael
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
KW - Continence
KW - Familial adenomatous polyposis
KW - IPAA
KW - Ileal pouch-anal anastomosis
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=0036230860&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(02)00804-8
DO - 10.1016/S0002-9610(02)00804-8
M3 - Article
C2 - 11975922
AN - SCOPUS:0036230860
VL - 183
SP - 353
EP - 360
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -