[Organisation and early outcome of restorative proctocolectomy and ileal pouch-anal anastomosis]. / Organisation og tidlige operationsresultater efter ileo-pouch-anal-anastomose.
Ugeskr Laeger
; 170(20): 1726-8, 2008 May 12.
Article
em Da
| MEDLINE
| ID: mdl-18489885
ABSTRACT
INTRODUCTION:
Restorative proctocolectomy and ileal pouch-anal anastomosis (IPAA) has become the operation of choice for patients with ulcerative colitis and familial polyposis. However, the procedure is complex with a long learning curve, and carries a risk of both early and late complications. The purpose of this study was to evaluate the early outcomes (within 30 days after surgery) and organisation of IPAA surgery in Denmark between January 2001 and December 2005. MATERIALS ANDMETHODS:
IPAA patients >18 years old were drawn from the Danish National Patient Registry from 2001 through 2005. Hospital stay and the primary operation were recorded as well as re-operations and readmissions within the first 30 postoperative days. Mortality was recorded from the National Civic Register.RESULTS:
385 patients underwent IPAA surgery during the study period (77/year) in six centres. One centre performed 31% of the operations. The mean postoperative hospital stay (primary - and readmission within 30 days) was 13.5 days. 24% were readmitted within 30 days and 8% were re-operated. The mortality rate was 0.3%.CONCLUSION:
Based upon the limited number of operations, the high risk of early readmissions and re-operations, the well-known steep learning curve and the potential improvement with the technically demanding laparoscopic technique, a reorganisation of the procedure to fewer centres is suggested.
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Base de dados:
MEDLINE
Assunto principal:
Colite Ulcerativa
/
Proctocolectomia Restauradora
/
Polipose Adenomatosa do Colo
/
Bolsas Cólicas
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
Da
Revista:
Ugeskr Laeger
Ano de publicação:
2008
Tipo de documento:
Article