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Quality of Life After Total Proctocolectomy With Ileostomy or IPAA: A Systematic Review.

Author: DuboisLuc, KhotZaid, MurphyPatrick B, OttMichael, VogtKelly N

ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Comparative StudyResearch that compares multiple groups/interventions to determine differences/similarities in outcomes/characteristics.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

Both total proctocolectomy with ileostomy and IPAA appear equivalent in terms of overall health-related quality of life.
Paper Details　
Original Abstract of the Article :
BACKGROUND: The standard surgical treatment for ulcerative colitis involves either a total proctocolectomy and end ileostomy or an IPAA. Both treatments result in similar control of disease but differ in terms of patient experience and daily functioning. OBJECTIVE: The aim of this systematic review...See full text at original site
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引用元：
https://pubmed.ncbi.nlm.nih.gov/26252853

データ提供：米国国立医学図書館（NLM）

Choosing the Right Path: Total Proctocolectomy with Ileostomy or IPAA

The treatment of ulcerative colitis, a chronic inflammatory bowel disease, often requires a major surgical intervention. This study, like a skilled desert guide, explores the impact of two surgical approaches: total proctocolectomy with ileostomy and ileal pouch-anal anastomosis (IPAA) on patients' quality of life. The authors conducted a systematic review of the literature, analyzing data from multiple studies to compare the long-term outcomes of these two procedures.

Navigating the Desert: Comparing Surgical Approaches

The review revealed that both total proctocolectomy with ileostomy and IPAA resulted in similar control of disease activity and offered similar levels of quality of life. This is like discovering two distinct oases in the desert, each offering its own unique advantages and challenges. The authors concluded that the choice between these procedures should be based on individual patient preferences and the potential for complications.

The Oasis of Choice: Informed Decision-Making

The study emphasizes the importance of informed decision-making for patients undergoing surgery for ulcerative colitis. It suggests that healthcare providers should thoroughly discuss the benefits and risks of each procedure, allowing patients to make the choice that best aligns with their individual needs and preferences.

Dr. Camel's Conclusion

This study reminds us that even in the desert of chronic inflammatory bowel disease, where choices can feel daunting, there are often multiple pathways to healing. By carefully considering the benefits and risks of different surgical approaches, patients can make informed decisions that lead them to a more comfortable and fulfilling life.

Date :
  1. Date Completed 2015-10-22
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

26252853

DOI: Digital Object Identifier

00003453-201509000-00013

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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