Vol - 28, Issue - 07
About the Journal
[This article belongs to Volume - 28, Issue - 07]
International Medical Journal
Journal ID : IMJ-08-08-2021-869
Total View : 366

Abstract : Restorative proctocolectomy with ileal pouch anal anastomosis (RPC-IPAA) is usually the preferred procedure. This research aims to study the risk factors associated with the development of postoperative complications. For this cohort study we included all patients who underwent RPC-IPAA in the Department of surgical gastroenterology, V.S. General hospital, Ahmedabad between 2008 and 2017. Data for patients who were operated before the year 2012 were obtained retrospectively from the medical records and rest of the data were collected prospectively. Late complications were defined as those developed after 1 month. We compiled the data and analysed using appropriate statistical test to look for pre-operative patient variables associated with late complications. Out of 32 patients, 19 males and 13 were females with average age was 32.3 years at the time operation. 13 patients developed complications [pouchitis (n=6), incisional hernia (n=3), bowel obstruction (n=2), pouch leakage (n=1) and erectile dysfunction (n=1)]. We found serum albumin less than 3 mg/dL and pancolitis associated with more postoperative late complications with p value 0.007 and 0.04 respectively which is statistically significant. Other patient variables like gender, duration of disease more than 36 months, extraintestinal manifestations, smoking, dietary pattern, family history, medical comorbidities, body mass index less than 20 kg/m2, ESR>30, backwash ileitis or stapler anastomosis were not associated with increased post-operative complications and statistically insignificant. This study demonstrates that low preoperative albumin level and pancolitis are risk factors for late complications of IPAA. Preoperative nutritional support, especially albumin, could reduce late complication.

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