Could Total Colectomy with Ileorectal Anastomosis Be an Alternative to Total Proctocolectomy with Ileal Pouch-Anal Anastomosis in Selected Ulcerative Colitis Patients?
Table 1
Preoperative characteristics and postoperative complications of the 126 UC patients who underwent IRA compared to patients who underwent IPAA during the same period at our centre.
IRA (126 patients)
IPAA (309 patients)
Age at surgery (years)
Mean (range)
35.8 (16–73)
37.5 (14–75)
ns
Sex (M/F)
75/51
161/148
ns
Disease duration (years)
Mean (range)
6.8 (0–25)
8.4 (0–30)
<0.01
Previous colectomy (%)
23.8
34.6
0.02
MTV ± SD (mL air)
<0.01
Rectal compliance ± SD (air/mmHg)
0.03
Postoperative complications
Early: number of patients (%)
5 (4%)
42 (13.6%)
<0.01
Late: number of patients (%)
4 (3.2%)
67 (21.7%)
<0.01
Follow-up (years)
Mean (range)
11.5 (2–24.3)
10.2 (2–21.4)
ns
IRA: ileorectal anastomosis; IPAA: ileal pouch-anal anastomosis; UC: ulcerative colitis; MTV: maximum tolerated volume; ns: not significant.
