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Association of Malnutrition with Postoperative Outcomes after Ileal Pouch-Anal Anastomosis

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Ileal pouch-anal anastomosis (IPAA) restores intestinal continuity after total proctocolectomy, and has become a standard of care for patients with ulcerative colit is (UC). Malabsorption, pain leading to poor enteral… Click to show full abstract

Ileal pouch-anal anastomosis (IPAA) restores intestinal continuity after total proctocolectomy, and has become a standard of care for patients with ulcerative colit is (UC). Malabsorption, pain leading to poor enteral intake, steroid use, and chronic inflammation all contribute to poor nutrition in patients with UC. Although there is no gold standard for the assessment of nutrition in UC, serum albumin level, body mass index (BMI), and weight loss are commonly used, as they are convenient to study and reliably predictive. With its large and comprehensive dataset, the American College of Surgeon ’s Nat ional Surgical Qual i ty Improvement Program (ACS-NSQIP) provides an ideal sample. The aim of this study was to determine the relationship between preoperative nutritional status and postoperative complications after IPAA. Materials and Methods

Keywords: anal anastomosis; association malnutrition; ileal pouch; pouch anal; malnutrition postoperative

Journal Title: Journal of Gastrointestinal Surgery
Year Published: 2020

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