Restorative protocolectomy with J-Pouch reservoir. Experience in a National Medical Center

Óscar Durán-Ramos; Ulises Rodrigo Palomares-Chacón; Livia Ruth Pulido-García Óscar Alejandro Farías-Llamas María Karina Lizbeth Lópe; Alejandro González-Ojeda

2005, Number 3

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Cir Cir 2005; 73 (3)

Restorative protocolectomy with J-Pouch reservoir. Experience in a National Medical Center

Durán-Ramos O, Palomares-Chacón UR, Pulido-García LR, Farías-Llamas OA, López-Ramírez MKL, González-Ojeda A

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Language: Spanish
References: 37
Page: 185-192
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ABSTRACT

Objective: To present the experience for morbidity and mortality of surgical treatment of chronic ulcerative colitis (CUC) and familiar adenomatous polyposis (FAP) with restorative proctocolectomy with J-pouch.
Material and methods: We used a cases series of patients treated consecutively from January 1993 to December 2003. Selection criteria were patients with J-pouch restorative proctocolectomy with CUC and FAP who were treated and assessed prospectively.
Results: There were 16 cases treated with restorative proctocolectomy (nine males and seven females). Diagnosis of inflammatory bowel disease was established in 12 patients, and 4 with familiar adenomatous polyposis. Age average was 33 years. All cases had protective ileostomy. Seven patients developed at least one complication such as pelvic abscess, uretheral transection, pulmonary thromboembolism, hemoperito neum, persistent transrectal bleeding, wound infection and sexual impotence. Only four patients required surgical reintervention. The median hospital stay was 11.9 days. Average bowel movements at 3 month-follow-up was 10.1, at 6 months 6.6. Medium average follow-up was 44.25 months. There was no mortality.
Conclusions: Results of this study demonstrated adequate quality of life and appropiate functional results; rate of morbidity was acceptable with no mortality. Long-term follow up is necessary to identify long-term-late complications.

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