Table 3.
Operative details
Study | Year | Restorative proctocolectomy + IPAA (1 stage) | Completion proctectomy + IPAA (2 stage) | Ileostomy | Time to ileostomy closure | Pouch configuration | Stapled anastomosis? |
---|---|---|---|---|---|---|---|
Pescatori | 1990 | 70 % | 30 % | 99.0 % | RP + IPAA: 24.7 weeks CP + IPAA: 150 weeks |
J pouch 63 % S pouch 29 % W pouch 6 % L pouch 2 % |
ND |
Lewis | 1993 | 100 % | 0 % | ND | ND | J pouch 22.2 % W pouch 66.7 % None 11.1 % |
ND |
Bauer | 1996 | >50: 68.2 % <50: 53.7 % |
>50: 31.8 % <50: 46.3 % |
>50: 47.0 % <50: 57.4 % |
ND | ND | 0 % (all hand-sewn) |
Dayton | 1996 | >55: 92.3 % <55: 83 % |
>55: 8.7 % <55: 17 % |
100 % | >8 weeks | J pouch 100 % | 0 % (all hand-sewn) |
Tan | 1997 | >50: 54 % <50: 40 % |
>50: 46 % <50: 60 % |
>50: 54 % <50: 55 % |
ND | J pouch: >50: 96.4 %; <50: 90.45 % W pouch: >50: 3.57 %; <50 W 5.52 % S pouch: <50: 4.02 % |
100 % |
Takao | 1998 | 100 % | 0 % | 100 % | 8–12 weeks | ND | ND |
Delaney | 2003 | >55: 74.0 % <45: 65 % |
>55: 26.0 % <45: 35 % |
>55: 92.4 % <45: 88 % |
12 weeks | J pouch: >55: 91.3 %; <45 80 % S pouch: >55: 8.7 %; <45 20 % |
>55: 86.2 % <45: 76 % |
Chapman | 2005 | ND | ND | “Most” | 12 weeks | J pouch 100 % | ND |
Ho | 2005 | >50: 65.0 % <50: 58.1 % |
>50: 33 % <50: 37.0 % |
>50: 1.94 % <50: 4.8 % |
>50: 13.8 weeks <50: 11.7 weeks |
J pouch 100 % | ND |
Kiran | 2009 | >55: 69.6 % <35: 59.3 % |
>55: 30.4 % <35: 40.7 % |
>55: 91.3 % <35: 89.4 % |
ND | J pouch: 65.2 % >55; 58.3 % <55 S pouch: 34.8 % >55; 4.7 % <35 |
>55: 73.9 % <35: 56.1 % |
Pinto | 2009 | >65: 75.7 % <65: 69.7 % |
>65 24.3 % <65 30.3 % |
100 % | ND | J pouch 100 % | >65: 87.9 % <65: 94.0 % |
Pellino | 2013 | >70: 81.5 % <70: 85.2 % |
>70: 18.5 % <70: 14.8 % |
100 % | 8–12 weeks | ND | >70: 66.6 % <70: 61.7 % |
ND not documented, RP restorative proctocolecomy, CP completion proctectomy, IPAA ileal pouch-anal anastomosis