Pediatric ileal pouch-anal XXXX : functional outcomes and quality of life.

@entity1 @entity137 @entity851 @entity850 @entity322 @entity5 @entity5042 @entity254 @entity31 @entity1960 @entity148 @entity1412 @entity1744
BACKGROUND/PURPOSE: The aim of this study was to assess and correlate functional outcomes and surgical results with health-related quality of life after ileal pouch-anal @entity254 (IPAA) in pediatric @entity1 . METHODS: Functional outcome was determined by questionnaire and telephone interview. Surgical results were determined by retrospective chart review. RESULTS: Data were gathered from 26 @entity1 (mean age at IPAA, 12 years; mean follow-up, 3.7 years). Diagnoses were @entity31 in 18, indeterminate @entity1960 in 4, and @entity1412 in 4. Indications for IPAA included intractability, medication @entity137 , @entity851 , and @entity5 prophylaxis. Short-term complications (5 @entity1 ; 19%) included @entity1744 , stomal revision, pouch abscess, and negative exploration. Long-term complications (8 @entity1 ; 31%) were chronic @entity5042 and @entity850 . The average number of stools per 24 hours was 3.9. No @entity322 was reported; dietary restrictions were negligible. Although there were minimal differences from population norms, parental @entity148 remained high. Chronic @entity5042 correlated negatively with physical summary score. Nocturnal stooling negatively affected psychosocial quality of life. CONCLUSIONS: Pediatric IPAA resulted in excellent bowel health. Quality of life, physical function, mental health, and self-esteem were equivalent to those of healthy @entity1 . These data may help families and physicians make informed surgical decisions.
