ADAMOVÁ, Zuzana, Petr VLČEK, R. SLOVACEK, J. SANKOT and P. SINDLER. Quality of life after surgery for colonic diverticular disease – another reason for surgery? In 2nd Digestive Disorders Federation meeting. 2015.
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Basic information
Original name Quality of life after surgery for colonic diverticular disease – another reason for surgery?
Authors ADAMOVÁ, Zuzana (203 Czech Republic, guarantor, belonging to the institution), Petr VLČEK (203 Czech Republic, belonging to the institution), R. SLOVACEK (203 Czech Republic), J. SANKOT (203 Czech Republic) and P. SINDLER (203 Czech Republic).
Edition 2nd Digestive Disorders Federation meeting, 2015.
Other information
Original language English
Type of outcome Presentations at conferences
Field of Study 30200 3.2 Clinical medicine
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/15:00083301
Organization unit Faculty of Medicine
Keywords in English Quality of life; Diverticular disease; Surgery
Tags EL OK
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 10/2/2016 17:55.
Abstract
Introduction: The study is focused on the quality of life of patients affected by colonic diverticular disease (DD). While colonic resection is standard practice in complicated DD, treatment of uncomplicated diverticulitis is not so clear. The aim of this study was to evaluate the quality of life in patients who had undergone colonic resection and who had been treated just with medical therapy. Methods: This is a prospective, single-centre study. Between December 2009 and December 2014, 29 patients were treated for DD in our ward and were willing to fill in the gastrointestinal quality of life index questionnaire (GIQLI), which was sent them later by mail again, after 3 months and one year. We compared the improvement of the quality of life after the treatment – in conservatively treaded C group and in patients after resection – R group. Result: We compared C group (21 patients) with R group (8 patients ). After 3 months there was no significant difference in changes of gastrointestinal quality of life. But after one year there was significant improvement in the R group + 25%, whereas the improvement in the C group was just + 1%. The average change in total GIQLI score C versus R group was 0,6 vs 22, 7 respectively (p=0.006). The improvement was due to increments in gastrointestinal symptomatology (-0,3 vs 9,8; p=0,01), physical functions (-0,7 vs 5,6; p=0,007), social function (-0,5 vs 2.3; p=0,05) and treatment (-0,3 vs 1,4; p=0.004) subdomain. Conclusion: Because of significant improvement in quality of life after sigmoid resection in the majority of patients, in contrast to non operated group, avoidance of subsequent episodic attacks should not represent the only reason for surgery.
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