• Login
    View Item 
    •   Home
    • Hospital Research
    • Munster
    • Cork University Hospital
    • View Item
    •   Home
    • Hospital Research
    • Munster
    • Cork University Hospital
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    5079
    UlsterS
    5079
    Connacht
    1698
    Munster
    58
    Leinster
    465

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideNational Health Library & Knowledge ServiceGuide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Quality of life after ileal pouch-anal anastomosis: an evaluation of diet and other factors using the Cleveland Global Quality of Life instrument.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Coffey, J C
    Winter, D C
    Neary, P
    Murphy, A
    Redmond, H P
    Kirwan, W O
    Affiliation
    Department of Academic Surgery, Cork University Hospital, Cork, Ireland.
    Issue Date
    2012-02-03T15:11:01Z
    MeSH
    Adenomatous Polyposis Coli/*diet therapy/physiopathology/*surgery
    Adolescent
    Adult
    Anastomosis, Surgical
    Colitis, Ulcerative/*diet therapy/physiopathology/*surgery
    Colon/physiopathology/surgery
    Defecation/physiology
    Female
    Follow-Up Studies
    Food Habits/*physiology
    Humans
    Life Style
    Male
    Middle Aged
    Pregnancy
    Preoperative Care
    *Proctocolectomy, Restorative
    *Quality of Life
    Time Factors
    Treatment Outcome
    Show allShow less
    
    Metadata
    Show full item record
    Citation
    Dis Colon Rectum. 2002 Jan;45(1):30-8.
    Journal
    Diseases of the colon and rectum
    URI
    http://hdl.handle.net/10147/209054
    PubMed ID
    11786761
    Abstract
    PURPOSE: Although functional results after ileal pouch-anal anastomosis are excellent, imperfections of function do occur. In this setting, quality-of-life assessment is an invaluable tool in determining overall therapeutic efficacy. We evaluated the impact of dietary restrictions, preoperative diagnosis (ulcerative colitis vs. familial adenomatous polyposis), and pregnancy (after pouch insertion) on quality of life. METHODS: After ethical approval, 64 patients were reviewed (mean age, 31 (range, 15-54) years). Long-term quality of life in patients after ileal pouch-anal anastomosis was assessed using the Cleveland Global Quality of Life instrument or Fazio score. The Cleveland Global Quality of Life score is a novel quality-of-life instrument specifically designed for patients with ileal pouches. Stool frequency and continence were recorded to establish the functional status of this group. RESULTS: Sixty-one patients (95.3 percent) complained of some form of dietary restriction and adopted a fixed dietary regimen. All such patients felt that a breach of this regimen would impinge significantly on their quality of life. Late eating and alcohol were associated with diarrhea, whereas smoking was not. Constipation was infrequently reported. The mean Cleveland Global Quality of Life score of patients with ulcerative colitis (0.81 +/- 0.13) was greater than that of patients with ulcerative colitis and a background of pouchitis (0.78 +/- 0.16; P = 0.042). Whereas postoperative stool frequency in patients with familial adenomatous polyposis was always higher than the preoperative level (4 vs. 2 movements per day; P = 0.04), the Cleveland Global Quality of Life score of this group was lower than that of ulcerative colitis patients (0.77 vs. 0.81; P = 0.047). The Cleveland Global Quality of Life score of females who had had pregnancies after pouch formation was 0.70, significantly lower (P = 0.039) than that of ulcerative colitis patients, although pouch function was similar to the general group (7 vs. 6 daily bowel movements with full continence in all parous patients). CONCLUSIONS: Most patients suffered dietary restrictions, forcing them to adopt a fixed dietary regimen. Breach of this regimen would impact on their quality of life. Hence composition of diet and timing of intake are important determinants of quality of life after ileal pouch formation. Patients with familial adenomatous polyposis and those with a history of pouchitis had poorer Cleveland Global Quality of Life scores than ulcerative colitis patients without a background of pouchitis. This indicates that they also had poorer quality of life. Parous patients had the lowest Cleveland Global Quality of Life scores, indicating the poorest quality of life. These differences did not correlate with poorer pouch function, highlighting the influence of non-pouch-related factors in quality of life after ileal pouch formation.
    Language
    eng
    ISSN
    0012-3706 (Print)
    0012-3706 (Linking)
    Collections
    Cork University Hospital

    entitlement

    Related articles

    • Functional outcome of conversion of ileorectal anastomosis to ileal pouch-anal anastomosis in patients with familial adenomatous polyposis and ulcerative colitis.
    • Authors: Soravia C, O'Connor BI, Berk T, McLeod RS, Cohen Z
    • Issue date: 1999 Jul
    • Quality of life ten and more years after restorative proctocolectomy for patients with familial adenomatous polyposis coli.
    • Authors: Ganschow P, Pfeiffer U, Hinz U, Leowardi C, Herfarth C, Kadmon M
    • Issue date: 2010 Oct
    • Restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis and familial adenomatous polyposis: twenty years follow-up in 174 patients.
    • Authors: Krausz MM, Duek SD
    • Issue date: 2005 Jan
    • Functional outcomes and complications after restorative proctocolectomy and ileal pouch anal anastomosis in the pediatric population.
    • Authors: Ozdemir Y, Kiran RP, Erem HH, Aytac E, Gorgun E, Magnuson D, Remzi FH
    • Issue date: 2014 Mar
    • A prospective evaluation of sexual function and quality of life after ileal pouch-anal anastomosis.
    • Authors: Davies RJ, O'Connor BI, Victor C, MacRae HM, Cohen Z, McLeod RS
    • Issue date: 2008 Jul
    Health Library Ireland | Health Service Executive | Jervis House, Jervis Street | Republic of Ireland | Eircode: D01 W596
    lenus@hse.ie | Tel: +353-1-7786275
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.