Does intramesorectal excision for ulcerative colitis impact bowel and sexual function when compared with total mesorectal excision?

被引：30

作者：

Hicks, Caitlin W. ^{[1
,2
]}

Hodin, Richard A. ^{[1
]}

Savitt, Lieba ^{[1
]}

Bordeianou, Liliana ^{[1
]}

机构：

[1] Massachusetts Gen Hosp, Dept Surg, Crohns & Colitis Ctr, Boston, MA 02114 USA

[2] Johns Hopkins Univ Hosp, Dept Surg, Baltimore, MD 21287 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2014年 / 208卷 / 04期

关键词：

Ulcerative colitis; Intramesorectal excision; Total mesorectal excision; Ileal pouch anal anastomosis; Functional outcomes; Quality of life; POUCH-ANAL ANASTOMOSIS; QUALITY-OF-LIFE; INCONTINENCE SEVERITY INDEX; ERECTILE FUNCTION IIEF; TERM-FOLLOW-UP; RESTORATIVE PROCTOCOLECTOMY; FECAL INCONTINENCE; INTERNATIONAL INDEX; RECTAL-CANCER; INSTRUMENT;

D O I：

10.1016/j.amjsurg.2014.05.012

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Proctectomy for ulcerative colitis (UC) can be performed via intramesorectal (IME) or total mesorectal excision (TME). METHODS: We compared patient-reported bowel and sexual function among IME versus TME UC patients (September 2000 to March 2011) using the Memorial Sloan-Kettering Cancer Center Bowel Function scale, Fecal Incontinence Quality of Life, Fecal Incontinence Severity Index, Female Sexual Function Instrument, and International Index of Erectile Dysfunction surveys. RESULTS: Eighty-nine IME versus TME patients (35 +/- 2 years, 57% male, 62% IME) had similar baseline characteristics, although IME patients had more open procedures (P <= .03). IME patients reported better fecal continence (P = .009) but similar fecal incontinence-related quality of life (P >= .44). For sexual function, there were no differences for either women (Female Sexual Function Instrument; P >= .20) or men (International Index of Erectile Dysfunction; P >= .22). CONCLUSIONS: IME appears to be associated with better fecal continence but no difference in overall bowel or sexual function compared with TME in patients with UC. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：499 / +

页数：10

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