Chance of pouch surgery after colectomy for ulcerative colitis based on pelvic pouch volumes at the colectomy hospital, a Swedish national cohort study.

ABSTRACT:

Background

There are three reconstructive options after colectomy for ulcerative colitis (UC), ileal pouch anal anastomosis, ileorectal anastomosis and continent ileostomy. Less than 50% of UC patients in Sweden get bowel continuity after colectomy. The aim was to investigate the correlation between reconstructive volumes of the hospital performing the colectomy and the likelihood of reconstruction.

Methods

From the Swedish National Patient Register, all ulcerative colitis patients subjected to colectomy between 1997 and 2020 were identified, and patient demographics, surgeries and hospital reconstructive volumes were extracted. Cox regression models of time from colectomy to reconstruction were performed, including age, sex, calendar time of colectomy, time from diagnosis,

SUBMITTER: Risto A 

PROVIDER: S-EPMC12441475 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature