Portal de Periódicos da CAPES

Incidence and outcome of complications following restorative proctocolectomy

2005; Elsevier BV; Volume: 190; Issue: 1 Linguagem: Inglês

10.1016/j.amjsurg.2005.05.001

1879-1883

Katsuhiko Arai, Kazutaka Koganei, Hideaki Kimura, Minako Akatani, Fumihiko Kitoh, Akira Sugita, Tsuneo Fukushima,

Inflammatory Bowel Disease

Background Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy. Methods In 96.3% of patients, the pouch was anastomosed using the double stapling method. A total of 44.6% of patients underwent restorative proctocolectomy in 1 stage without ileostomy and 53% in 2 stages. Complications were divided into 2 stages: early (within 1 month) and late (after 1 month); moreover, the annual incidences were calculated, mean onset time, and pouch survival rate. Results The overall incidence of complications was 52.7%. Early complications (13.2%) occurred significantly less often than late complications (46.3%) (P < .05). Thirty-five (17.7%) of 198 complications required surgery. The cumulative 5- and 10-year pouch survival rate was 99%, respectively. Conclusions The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high.