Quality of life after colectomy for colonic inertia

K. Thaler, A. Dinnewitzer, M. Oberwalder, E. G. Weiss, J. J. Nogueras, Jonathan Efron, A. M. Vernava, S. D. Wexner

Research output: Contribution to journalArticle

Abstract

Background: Total abdominal colectomy (TAC) with ileorectal anastomosis represents the procedure of choice in patients with colonic inertia and relieves constipation in the majority of patients. The aim of this study was to assess postoperative long-term health related quality of life in these patients in relation to their functional outcome. Methods: A consecutive series of patients with isolated colonic inertia who underwent TAC between 1993 and 1999 was identified from a clinical database and investigated in a cohort outcome study. Functional variables including the weekly number of bowel movements (BM), abdominal pain, bloating and distension, fecal incontinence, and the use of medications for BM assistance were assessed preoperatively and postoperatively. Main outcome measure was health-related quality of life assessed at follow-up using the SF-36 Health Survey. Results: A total of 17 women with a mean age of 47.8 years (SD=14.3 years) were assessed and were followed postoperatively for 58.3±27.3 months. Preoperatively, all patients were constipated with less than one bowel movement per week, used laxatives, and experienced abdominal pain, bloating and distension. Postoperatively, all patients had some relief of constipation symptoms, with 3.7±2.8 bowel movements/day; 41% complained of abdominal pain, 65% of bloating, 29% required BM assistance, and 47% had occasional incontinence to gas or liquid stool. The SF-36 scores were significantly lower than those of the general population (p

Original languageEnglish (US)
Pages (from-to)133-137
Number of pages5
JournalTechniques in Coloproctology
Volume9
Issue number2
DOIs
StatePublished - Jul 2005
Externally publishedYes

Fingerprint

Colectomy
Constipation
Quality of Life
Abdominal Pain
Outcome Assessment (Health Care)
Laxatives
Fecal Incontinence
Health Surveys
Cohort Studies
Gases
Databases
Population

Keywords

  • Colonic inertia
  • Functional outcome
  • Quality of life
  • Total abdominal colectomy

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Thaler, K., Dinnewitzer, A., Oberwalder, M., Weiss, E. G., Nogueras, J. J., Efron, J., ... Wexner, S. D. (2005). Quality of life after colectomy for colonic inertia. Techniques in Coloproctology, 9(2), 133-137. https://doi.org/10.1007/s10151-005-0211-8

Quality of life after colectomy for colonic inertia. / Thaler, K.; Dinnewitzer, A.; Oberwalder, M.; Weiss, E. G.; Nogueras, J. J.; Efron, Jonathan; Vernava, A. M.; Wexner, S. D.

In: Techniques in Coloproctology, Vol. 9, No. 2, 07.2005, p. 133-137.

Research output: Contribution to journalArticle

Thaler, K, Dinnewitzer, A, Oberwalder, M, Weiss, EG, Nogueras, JJ, Efron, J, Vernava, AM & Wexner, SD 2005, 'Quality of life after colectomy for colonic inertia', Techniques in Coloproctology, vol. 9, no. 2, pp. 133-137. https://doi.org/10.1007/s10151-005-0211-8
Thaler K, Dinnewitzer A, Oberwalder M, Weiss EG, Nogueras JJ, Efron J et al. Quality of life after colectomy for colonic inertia. Techniques in Coloproctology. 2005 Jul;9(2):133-137. https://doi.org/10.1007/s10151-005-0211-8
Thaler, K. ; Dinnewitzer, A. ; Oberwalder, M. ; Weiss, E. G. ; Nogueras, J. J. ; Efron, Jonathan ; Vernava, A. M. ; Wexner, S. D. / Quality of life after colectomy for colonic inertia. In: Techniques in Coloproctology. 2005 ; Vol. 9, No. 2. pp. 133-137.
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