Turoldo Angelo, Bortul Marina, Ceglar Samuele, Dobrinja Chiara, de Manzini Nicolò
Ann Ital Chir. 2016;87:564-571.
Aim of this study was to evaluate bowel function after colonic resection for diverticular disease and assess its impact on patients' quality of life.
47 patients who underwent urgent or elective surgery for diverticular disease were either personally contacted or interviewed by telephone and given a questionnaire. The Memorial Bowel functional index, the short form (36) health survey questionnaire, and the fecal incontinence severity index were used.
Fecal Urgency was found in 4,25% of cases, Incomplete Evacuation in 17,03%, and the Lifestyle/Diet Modification Score in 23,4% of patients. Incontinence cases were not found. After surgery we found reduction of abdominal pain (p=0.017) and improved bowel function (p=0.001). The quality of life correlated to bowel function was defined good or very good in 87.2% of cases whereas 4.3% of patients reported poor bowel function. This condition was related to female patients (p=0.02), urgent surgery (p=0.05), and to post-operative complication (p=0.05).
In our experience, both bowel function and abdominal pain improved after surgery and 91.4% of patients were satisfied with the choice of surgery and would agree to do it again. The presence of not recognized inflammatory bowel syndromes can occasionally be responsible for persistent disorders after surgery.
Bowel function, Diverticular disease, Sigmoidectomy.
本研究旨在评估因憩室病行结肠切除术后的肠道功能，并评估其对患者生活质量的影响。
47例因憩室病接受急诊或择期手术的患者，通过亲自联系或电话访谈的方式，向其发放问卷。采用了纪念肠道功能指数、简短健康调查问卷（36项）和大便失禁严重程度指数。
4.25%的病例出现排便急迫感，17.03%的病例存在排便不净感，23.4%的患者生活方式/饮食调整评分出现变化。未发现大便失禁病例。术后发现腹痛减轻（p = 0.017），肠道功能改善（p = 0.001）。87.2%的病例中，与肠道功能相关的生活质量被定义为良好或非常好，而4.3%的患者报告肠道功能较差。这种情况与女性患者（p = 0.02）、急诊手术（p = 0.05）以及术后并发症（p = 0.05）有关。
根据我们的经验，术后肠道功能和腹痛均有改善，91.4%的患者对手术选择满意，并愿意再次接受手术。未被识别的炎症性肠综合征偶尔可能是术后持续出现功能障碍的原因。
肠道功能；憩室病；乙状结肠切除术
