The purpose of this study was to determine whether perioperative manometry is useful in predicting long-term functional status after ileal pouch-anal @entity254 (IPAA). Prospectively collected perioperative anal manometry data from 1439 @entity1 undergoing IPAA from 1986 to 2000 were compared to postoperative functional status at various time intervals from 6 months to 8 years after IPAA. A validated questionnaire was used to obtain information regarding restrictions of diet, work, social and sexual activity, urgency, fecal seepage or @entity322 , energy level, satisfaction with surgery, and quality of life. The presence of seepage and the degree of @entity322 were compared to the @entity1 's perceived quality of life, health, energy level, and satisfaction with surgery. Low (<40 mm Hg) pre- and postoperative resting pressures were associated with increased seepage, pad use, and @entity322 . @entity1 with low resting pressures also reported diminished quality of life, health, energy level, and satisfaction with surgery. There was a significant association (P < 0.001) between seepage and degree of @entity322 and quality of health, quality of life, energy level, and level of satisfaction with surgery. Perioperative resting anal sphincter pressures greater than 40 mm Hg are associated with significantly better function and quality of life after ileal IPAA. Improved functional outcome is associated with better quality-of-life outcomes. Low preoperative resting pressures do not preclude successful outcome after IPAA.

Perioperative resting pressure predicts long-term postoperative function after ileal pouch-anal XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence']
@entity254 :: (MESH:C563598,Disease) :: ['anastomosis']
