{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T22:32:07Z","timestamp":1779143527059,"version":"3.51.4"},"reference-count":61,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  Purpose:  restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the surgical procedure of choice in some cases of familial adenomatous polyposis (FAP) and ulcerative colitis (UC). IPAA allows complete removal of the diseased colon and rectum, however, it is associated with substantial morbidity and potential consequences to patients\u2019 quality of life (QoL).  Aims:  to evaluate the surgical results, functional outcomes and QoL after IPAA; and to examine the impact of surgical complications upon QoL.  Methods: we reviewed the records of 55 patients after IPAA, with emphasis on surgical outcomes. Forty patients answered the questionnaires. The Cleveland Global Quality of Life (CGQL), Inflammatory Bowel Disease Questionnaire (IBDQ), and Short Form 36 Health Survey Questionnaire (SF36).  Results:  the average age was 42.1\u00b114.1 years. 63.6% of the patients were male, and 69.1% had FAP. Operative mortality was 1.8% and overall morbidity was 76.4%. Anastomotic leakage was the most frequent early complication (34.5%). Pouchitis (10.8%) and small bowel obstruction (9.1%) were the most common late complications. Patients with UC had the most severe complications (p=0.014). Pelvic complications did not have a negative effect on functional outcomes or QoL scores. Female patients had decreased pouch evacuation frequency, fewer nocturnal bowel movements, decreased bowel symptom impact on QoL (p=0.012), and better CGQL (p=0.04). Patients with better education had better QoL scores, and patients who had their pouches for more than five years scored lower.  Conclusion: the high morbidity has no impact on function or QoL. Bowel function is generally acceptable. QoL is good and affected by sex, education and time interval since IPAA.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202791","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T11:20:57Z","timestamp":1616584857000},"source":"Crossref","is-referenced-by-count":7,"title":["Surgical results and quality of life of patients submitted to restorative proctocolectomy and ileal pouch-anal anastomosis"],"prefix":"10.1590","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3503-4302","authenticated-orcid":false,"given":"ADRIANA","family":"CHEREM-ALVES","sequence":"first","affiliation":[{"name":"UFMG,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ANT\u00d4NIO","family":"LACERDA-FILHO","sequence":"additional","affiliation":[{"name":"UFMG,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PRISCILA FERNANDES","family":"ALVES","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MAGDA","family":"PROFETA-DA-LUZ","sequence":"additional","affiliation":[{"name":"UFMG,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JULIANO ALVES","family":"FIGUEIREDO","sequence":"additional","affiliation":[{"name":"UFMG,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RODRIGO GOMES","family":"DA-SILVA","sequence":"additional","affiliation":[{"name":"UFMG,  Brazil; Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1002\/bjs.8697","article-title":"Intraoperative, postoperative and reoperative problems with ileoanal pouches","volume":"99","author":"Sagar PM","year":"2012","journal-title":"Br J Surg"},{"issue":"7","key":"ref2","first-page":"843","article-title":"Int J Colorectal","volume":"27","author":"de Zeeuw S","year":"2012","journal-title":"Dis"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1590\/S0004-28032008000200003","article-title":"Complica\u00e7\u00f5es imediatas e tardias ap\u00f3s cirurgia de reservat\u00f3rio ileal na polipose adenomatosa familiar","volume":"45","author":"Leal RF","year":"2008","journal-title":"Arq. gastroenterol"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1111\/codi.13352","article-title":"Management of pouch dysfunction in a tertiary centre","volume":"18","author":"Our\u00f4 S","year":"2016","journal-title":"Colorectal Dis"},{"issue":"6","key":"ref5","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1007\/s00384-004-0717-y","article-title":"Ileal pouch-anal anastomosis (IPAA) functional outcome after postoperative pelvic sepsis. 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