Quality of life of patients after reconstructive-restoration operations performed on non-tumor colon diseases
DOI:
https://doi.org/10.11603/2414-4533.2018.4.9709Keywords:
quality of life, functional outcomes, non-tumor colon diseasesAbstract
The aim of the work: to show the possibility of modern reconstructive-restorative operations in assuring the quality of life of patients operated because of severe non-tumor colon diseases with non-typical anatomical interrelations of the small intestine segment and the surgical anal canal, as well as in functional disorders of the small intestine.
Materials and Methods. Quality of life was investigated in 103 patients with a non-specific Study-Short Form-MOS-SF 36 questionnaire. The patients were divided into 2 groups: control (35 healthy persons) and the study – 68 patients operated for severe non-tumor colon diseases: ulcerative colitis, familial adenomatous polyposis, Crohn's disease of the colon. Patients in the study group were divided into subgroup, who underwent the standard radical and reconstructive-recovery operations and subgroup B, who involuntarily underwent the increased the amount of radical stage of the operation and advanced reconstructive-recovery surgical interventions.
Results and Discussion. Postoperative complications occurred in 12 (17.6 %) operated patients. The results of comparing the quality of life of healthy individuals and patients with non-neoplastic diseases of the colon in the period before surgery, in patients before and after these operations, in operated patients, depending on the characteristics of the radical and reconstructive-restorative stages of surgery, indicate a great deal methods of surgical treatment in ensuring an adequate level of quality of life in operated patients about non-tumor diseases of the colon, which according to the results of the ball evaluation of the SF 36 questionnaire, is largely close to the indicators of the quality of life of healthy individuals.
A fairly high standard of living in operated patients for severe non-tumor colon diseases will be achieved by improving radical and reconstructive-restorative operations, which contributed to a significant reduction in the number of postoperative complications, the risk of recurrence, improvement of the basic functions of the intestinal canal: digestion, absorption, anal holding, evacuation and, as a consequence, the degree of severity of pathological diarrhea and post-lectomy syndromes.
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