Indications and outcomes of home parenteral nutrition in patients with an ileoanal pouch.

We describe our experience of patients with restorative proctocolectomy who have developed intestinal failure requiring parenteral support. Material and methods This was a retrospective analysis using a database of patients referred to our intestinal failure unit from January 1998 to January 2016. We analysed the records of all those patients who had restorative proctocolectomy who developed intestinal failure. Results A total of 807 patient records were analysed; 35 patients were found to have had a restorative proctocolectomy (13 male and 22 female); 35 patients were found to have had a restorative proctocolectomy and 32 (91%) of patients developed intestinal failure as a consequence of unavoidable complications which occurred after restorative proctocolectomy formation. Potentially predictable complications were noted in three (9%) patients. Discussion and conclusions Most cases of intestinal failure in restorative proctocolectomy were unavoidable. In a small number of patients, accurate assessment and measurement of the small intestine may have better predicted an adverse outcome allowing improved preoperative counselling of patients. PMID: 30112936 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research