{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:32Z","timestamp":1787764892114,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Objective:<\/jats:title>\n                    <jats:p>Restorative proctocolectomy with ileal pouch\u2013anal anastomosis (RPC-IPAA) is usually preferred surgical treatment for ulcerative colitis (UC). Although treated primarily medically, some refractory and complicated cases of UC may require surgical intervention. It eliminates chronic UC and the risk of colonic cancer. This research aims to study the risk factors associated with the development of postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>For this cohort study, we included all the patients who underwent RPC-IPAA in the Department of Gastroenterology, Sheth Vadilal Sarabhai General Hospital, Ahmedabad, over 6 years. Data of the patients were obtained retrospectively from the medical records. We collected the data and analyzed using appropriate statistical tests to look for preoperative patient variables associated with late complications. Late complications were defined as those developed after 1 month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of 32 patients, 19 were male and 13 were female, with an average age of 32.3 years at the time of operation. Thirteen patients developed complications such as pouchitis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6), incisional hernia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), bowel obstruction (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), pouch leakage (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and erectile dysfunction (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). We found serum albumin &lt;3 mg\/dl and pancolitis associated with more postoperative late complications with\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007 and 0.04, respectively, which is statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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 complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_177_22","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T13:00:42Z","timestamp":1699621242000},"page":"497-500","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Study of Late Complications of Restorative Proctocolectomy with Ileal Pouch\u2013Anal Anastomosis for Ulcerative Colitis Operated at a Tertiary Care Center and Factors Affecting to That"],"prefix":"10.4103","volume":"22","author":[{"given":"Nikhil","family":"Jillawar","sequence":"first","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijetha","family":"Bandla","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pushkar","family":"Galam","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramya","family":"Vajja","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dakshayani","family":"Nirhale","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Dr. D. Y. 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