Pouch failure in patients with ulcerative colitis

نویسندگان

چکیده

AIM: to assess results of pouch surgery for ulcerative colitis (UC). PATIENTS AND METHODS: the retrospective single-center study included 144 patients who underwent J-pouch in 2011–2018 (4 refused ileostomy closure due nonmedical reasons and were excluded from analysis). Median follow-up was 32 (20; 43) months. The definition «pouch failure» (PF) clarified as a condition, when associated complications do not permit ≥ 12 months or more after surgery. RESULTS: PF detected 30/140 (21.4%) cases only 8/140 (5,7%) removed. most common complication identified by fistula, which 16/30 (53.3%) patients. Of 30 with PF, 22 (73.3%) managed “save” pouch, — 11/30 (36.7%) cases, anal defecation restored, other 11 (36. 7%) closed, but preserved is being treated conservatively. In 9/30 (30%) patients, performed transanal removal remaining part rectum formation pouch-anal anastomosis, followed ileostomy. 8/30 (26.6%) multivariant analysis revealed hypoalbuminemia at time (OR = 5.74; 95% CI 1.83–18.01; p 0.003) independent risk factors PF. CONCLUSION: factor lead hypoalbuminemia. Multi-stage surgical treatment made it possible ileal 22/30 completely overcome restore cases. (5.7%) had be removed permanent done.

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ژورنال

عنوان ژورنال: Koloproktologiâ

سال: 2022

ISSN: ['2073-7556', '2686-7303']

DOI: https://doi.org/10.33878/2073-7556-2022-21-3-10-18