P589 Clinical analysis of the postoperative bowel function in elderly patients with ulcerative colitis
R. Futatsuki*1, A. Sugita1, K. Koganei1, K. Tatsumi1, H. Kuroki1, K. Yamada1, K. Arai1, H. Kimura2, T. Fukushima3
1Yokohama Municipal Citizens Hospital, Inflammatory Bowel Disease Centre, Department of Surgery, Yokohama, Japan, 2Yokohama City University Medical Centre, Inflammatory Bowel Disease Centre, Department of Surgery, Yokohama, Japan, 3Matsushima Clinic, Yokohama, Japan
Proctocolectomy with stapled ileal pouch-anal canal anastomosis (SIPAA) has become the operation of choice for the ulcerative colitis (UC) patients. There are few reports of the postoperative bowel function of SIPAA in elderly patients. We examined the postoperative bowel function of SIPAA in elderly patients.
We defined elderly patients as over 65 years old. UC patients over 65 years old with favourable preoperative bowel function underwent SIPAA. We examined the postoperative bowel function using the medical records in 40 elderly patients. A median age who underwent SIPAA was 69 years old. The median follow-up was 4.0 years (range, 1.0–10.7 years). The frequency of bowel movements over time (3 months, 6 months, 1 year after surgery, and then yearly) in each case, and the ratio of soiling, spotting, and using antidiarrheal medication was evaluated.
The frequency of bowel movements was 6 times per day at the final consultation. Soiling was found in 5.0% and spotting was found in 12.5% of the patients. Antidiarrheal medication was used in 33 (82.5%) patients. The frequency of bowel movements from 3 months to 6 months and 6 months to 1 year decreased in 55.0% and 50.0% of the patients, respectively. The frequency of bowel movements from 1 year to the final consultation did not changed in 55.0% of the patients.
In the elderly patients with UC who showed favourable preoperative bowel function, postoperative function was also favourable with SIPAA. Thus, this procedure was considered an optimal surgical treatment for selected elderly UC patients.