Table 1.
Two-Stage IPAA (n=157) | Three-Stage IPAA (n=55) | P-value | |
---|---|---|---|
Patient Demographics | |||
Age (years), mean (SEM) | 36.6 (1.0) | 33.8 (1.8) | 0.17 |
Female sex, N (%) | 61 (39.6%) | 26 (47.3%) | 0.34 |
Other, N (%) | 6 (5.1%) | 2 (6.9%) | |
Body mass index (kg/m2), mean (SEM) | 25.1 (0.5) | 24.3 (1.1) | 0.43 |
Current smoker, N (%) | 4 (3.0%) | 2 (5.1%) | 0.62 |
Age-adjusted CCI ≥1, N (%) | 41 (30.4%) | 10 (25.0%) | 0.56 |
ASA ≥3, N (%) | 17 (13.6%) | 5 (13.5%) | 1.00 |
History of prior abdominal surgery, N (%) | 33 (24.6%) | 8 (20.5%) | 0.67 |
High-volume IBD surgeon, N (%) | 140 (89.7%) | 52 (94.6%) | 0.41 |
Disease and Operative Characteristics | |||
Steroid use at first operation, N (%) | 100 (73.5%) | 34 (87.2%) | 0.09 |
Anti-TNF agent use at first operation, N (%) | 42 (30.9%) | 11 (28.2%) | 0.85 |
Other immunomodulator use at first operation, N (%) | 63 (46.3%) | 9 (23.1%) | 0.01 |
Stricture, N (%) | 1 (0.6%) | 0 (0.0%) | |
Urgent procedure, N (%) | 41 (30.2%) | 33 (78.6%) | <0.001 |
Laparoscopic procedure, N (%) | 34 (24.5%) | 11 (26.8%) | 0.84 |
Severe disease in specimen, N (%) | 113 (83.1%) | 33 (82.5%) | 1.00 |
Severe disease at anastomosis, N (%) | 74 (56.5%) | 16 (42.1%) | 0.14 |
Any disease at anastomosis, N (%) | 122 (92.4%) | 33 (86.8%) | 0.33 |
IPAA: ileal pouch-anal anastomosis; SEM: standard error of the mean; CCI: Charlson-Comorbidity Index; ASA: American Society of Anesthesiologists; IBD: inflammatory bowel disease; TNF: tumor necrosis factor