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Detailed Analysis of Total Colectomy on Health-Related Quality of Life in Adult Patients With Ulcerative Colitis Publisher



Aghdaei HA1 ; Ghasemi F1 ; Nooraliee M1 ; Fazeli MS2 ; Anaraki F3 ; Sorrentino D4 ; Balaii H1 ; Shahrokh S5
Authors
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Authors Affiliations
  1. 1. Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of surgery, Imam Khomeini Medical complex, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Colorectal Division of Department of Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, 19835-178, Iran
  4. 4. IBD Center, Department of Medicine, Division of Gastroenterology, Virginia Tech Carilion School of Medicine, Roanoke, VA, United States
  5. 5. Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Gastroenterology and Hepatology from Bed to Bench Published:2017


Abstract

Aim: The aim of this study was to explore the quality of life (QoL) in a group of patients who had an intractable disease on medical therapy including biologics and underwent surgery. Background: Quality of life of patients with ulcerative colitis (UC) has been measured with a series of multiple questionnaires Methods: An observational cross sectional study was carried out on 68 patients with documented UC referring to an IBD clinic in a tertiary hospital. Patients with UC who had a colectomy because of intractable disease and were in remission for a year were eligible for enrollment Patients were instructed to fill the SF-36 Questionnaire (interviewer-administered) regarding quality of life. Side effects were evaluated with another questionnaire. Results were compared with the normal population of the community. Results: In comparison with normal population, patients having colectomy have better general QoL. Impotency and incontinency were most common adverse events after colectomy while the adverse events that decreased the QoL significantly were anal secretions and number of bowel movements per day without using antidiarrheal- drugs. Conclusion: In conclusion, our study showed a significant improvement of general QoL in a selected group of UC patients, who were in clinical remission following IPAA and only number of bowel movements per day and anal secretions significantly impaired their QoL. We suggest that a disease-specific questionnaire should be designed, making changes in health-related QOL more detectable over time, since it is more sensitive to these changes in IBD patients than a general questionnaire. © 2017 RIGLD, Research Institute for Gastroenterology and Liver Diseases.