| Comparison of Postoperative Ouality of Life in Ulcerative Colitis According to the Operative Method: Ileostomy versus Ileoanal Pouch Anastomosis |
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Yong Hee Joung , Hyo Jong Kim, Kil Yeon Lee, Byoung Wook Lee, Yo Seb Han, Seok Ho Dong, Byung Ho Kim, Young Woon Chang, Joung Il Lee, Rin Chang |
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Department of Internal Medicine and Surgery Kyung Hee University College of Medicine, Seoul, Korea
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| 궤양성 대장염 수술 방법으로써 회장낭-항문문합술과 영구회장조성술 후 경과와 삶의 질에 대한 비교 |
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정용희, 김효종, 이길연, 이병욱, 한요셉, 동석호, 김병호, 장영운, 이정일, 장린 |
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경희대학교 의과대학 소화기내과학교실, 외과학교실 |
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| Abstract |
Background/Aims
Ileostomy (IL) and ileal-pouch anal anastomosis (IPAA) are treatment of choice in ulcerative colitis. We investigate the complications and quality of life after operation according to the operative methods. Methods: We analyzed patients experienced total proctocolectomy. We divided them in two groups according to the operation methods. We analyzed the characteristics and outcomes after IL or IPAA group for evaluation quality of life and evaluated the characteristics of patients preoperative and postoperative state retrospectively. Results: Fourteen patients were enrolled this study. IPAA was done at eight of them and IL was done at the six of them. There were no difference in sex, age, frequency of use of immunosuppressive agent, duration of medication of steroid and duration of ulcerative colitis according to the operation methods. Most common indication of operation was medical intractability. Similar incidence of postoperative complication in both operation methods. According to the questionnares for evaluating of quality of life, we compared both operation method. There was no difference. But in IPAA, antidiarrheal medication was more needed. Conclusions: In IL and IPAA, quality of life was improved. There was no difference in quality of life in IL and IPAA. (Intestinal Research 2003;1:39-44) |
| Key Words:
Ileal-pouch anal anastomosis (IPAA), Ileostomy (IL), Ulcerative colitis, Quality of life (QOL) |
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