Systematic review of the literature on the quality of life of patients with reconstructive surgery for inflammatory bowel disease

• Hayar El Mouhajir, M ^[1] ; Gómez Rosado, J.C. ^[1] ; Capitán Morales, L.C. ^[1]
  1. [1] Hospital Universitario Virgen de la Macarena. Sevilla. Unidad de Cirugía Colorectal
• Localización: Revista española de investigaciones quirúrgicas, ISSN 1139-8264, Vol. 23, Nº. 4, 2020, págs. 169-174
• Idioma: inglés
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• Resumen

  • The only curative treatment for ulcerative colitis is proctocolectomy. For this reason, over time, multiple techniques have been studied to obtain the best possible functionality and quality of life, which has being highly affected by the disease. The techniques presented for study are ileoanal anastomosis with pouch and ileostomy, considering at the beginning the pouch as the best technique.Results obtained from the variables studied: fertility is less affected in the ileostomy, sexual function did not present differences, the frequency of bowel movements in the pouch is 6-7 bowel movements per day with an incontinence of approximately 21%, and the economic impact is much more pronounced in the ileostomy, while irritation and pain is much more frequent in the ileostomy. With regard to psychosocial function, there is some variability in the results without a clear difference between the two techniques. With regard to the quality of life assessed by the tests, there is a slight improvement in the pouch compared to the state before the operation. As a conclusion, we can formulate different alternatives, in young women with genetic desire the best option is the ileostomy, while in the rest of the patients, and the ileoanal anastomosis with pouch presents an adequate quality of life.