Table 4.
Two-Stage IPAA (n=81) | Three-Stage IPAA (n=32) | P-value | |
---|---|---|---|
Patient Demographics | |||
Age (years), mean (SEM) | 37.3 (1.4) | 37.6 (2.6) | 0.92 |
Female sex, N (%) | 30 (37.5%) | 17 (53.1%) | 0.14 |
Other, N (%) | 3 (4.9%) | 2 (9.5%) | |
Body mass index (kg/m2), mean (SEM) | 25.6 (0.6) | 24.7 (1.2) | 0.44 |
Current smoker, N (%) | 3 (3.8%) | 1 (3.2%) | 1.00 |
Age-adjusted CCI ≥1, N (%) | 25 (31.7%) | 9 (28.1%) | 0.82 |
ASA ≥3, N (%) | 11 (14.1%) | 4 (13.3%) | 1.00 |
History of prior abdominal surgery, N (%) | 20 (25.6%) | 6 (19.4%) | 0.62 |
High-volume IBD surgeon, N (%) | 74 (92.5%) | 30 (93.8%) | 1.00 |
Disease and Operative Characteristics | |||
Steroid use at first operation, N (%) | 56 (70.0%) | 26 (83.9%) | 0.16 |
Anti-TNF agent use at first operation, N (%) | 26 (32.5%) | 10 (32.3%) | 1.00 |
Other immunomodulator use at first operation, N (%) | 34 (42.5%) | 6 (19.4%) | 0.03 |
Stricture, N (%) | 1 (1.2%) | 0 (0.0%) | |
Urgent procedure, N (%) | 21 (26.3%) | 24 (75.0%) | <0.001 |
Laparoscopic procedure, N (%) | 22 (27.5%) | 9 (28.1%) | 1.00 |
Severe disease in specimen, N (%) | 67 (83.8%) | 27 (84.4%) | 1.00 |
Severe disease at anastomosis, N (%) | 42 (56.0%) | 13 (43.3%) | 0.28 |
Any disease at anastomosis, N (%) | 71 (93.4%) | 27 (90.0%) | 0.69 |
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