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International Journal of Colorectal Disease

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01-04-2010 | Original Article

The role of pouch compliance measurement in the management of pouch dysfunction

Authors: Yasuko Maeda, María Elena Molina, Christine Norton, Simon D. McLaughlin, Carolynne J. Vaizey, Søren Laurberg, Susan K. Clark

Published in: International Journal of Colorectal Disease | Issue 4/2010

Abstract

Purpose

Ileal pouch anal anastomosis is an established option for patients who require total proctocolectomy and restoration of bowel continuity. However, the functional results are not always good and low pouch compliance has been suggested as one possible cause. We aimed to review the results of pouch compliance tests over 11 years to assess whether measuring pouch compliance is a useful diagnostic tool to guide management of pouch dysfunction.

Methods

The results of pouch compliance tests performed between 1996 and 2007 together with the details of symptoms, treatments and outcome were reviewed.

Results

One hundred and forty-one pouch compliance tests were performed. There was no difference in pouch compliance between those with overt pathology (pouchitis, pelvic sepsis or anastomotic stricture) and those with idiopathic pouch dysfunction. In this second group, there was no difference in pouch compliance between patients with and without each of the symptoms of increased defaecatory frequency, incontinence and evacuation difficulties. The results of the compliance testing did not influence the clinical decision making on idiopathic pouch dysfunction (p = 0.77) nor diverted pouches (p = 0.07).

Conclusions

Measuring pouch compliance does not offer new information accounting for idiopathic pouch dysfunction and has little influence on the clinical management.

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Title: The role of pouch compliance measurement in the management of pouch dysfunction
Authors: Yasuko Maeda
María Elena Molina
Christine Norton
Simon D. McLaughlin
Carolynne J. Vaizey
Søren Laurberg
Susan K. Clark
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 4/2010
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-009-0846-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The role of pouch compliance measurement in the management of pouch dysfunction

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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