ANALYSIS OF THE QUALITY-OF-LIFE IN PATIENTS AFTER PELVIC POUCH OPERATION

AIM: the aim of this study is to analyse the quality of life in patien ts with ileoanal pouch respect to a diverting loop ileostomy. MATERIAL S AND METHODS: fifteen patients (8 women and 7 men) with mean average age of 33 years who underwent mucosal proctectomy, colectomy, ileal-po uch-anal anastomosis and temporary loop ileostomy. Quality of life was studied when the patients had an ileostomy and followup evaluation, o ne year after restitution of anal defecation. The surgeons'evaluation was done using a health scale. RESULTS: among the patients with tempor ary ileostomy, 40% reported bad tolerance, 53% leakage of stoma bag an d 26% skin problems. The mean stool frequency among ileoanal anastomos is was four per day, 87% reported total continence, 13% had major comp lications and they needed pouch removal. 67% patients with ileostomy r eported dietary restrictions against 13% patients functioning with pel vic pouch (p = 0.004). 13% patients with ileostomy had restricted spor t activities. Social activities were restricted for 40% and 26% had li mitations in their ability to work. Sex life was affected in 20% of pa tients with ileostomy and 13% of patients with ileal pouch anastomosis . 73% of patients presented an excellent level of satisfaction with po uch. CONCLUSION: quality of life after ileoanal pouch anastomosis is h igher than ileostomy.