Quality of Life Assessment,of Ileogastrostomy |
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Authors: | Andrew J Rae BSc MCS Iain GM Cleater MB ChB FRCSC FRCSE FRCS FACS |
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Institution: | (1) G. I. Research Laboratory, St Paul's Hospital, Vancouver;(2) Professor of Surgery, University of British Columbia, St Paul's Hospital, Vancouver, Canada |
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Abstract: | Twenty of 26 (77%) consecutive patients undergoing ileogastrostomy, performed by the same surgeon (IGMC) between February
1989 and May 1992, responded to a mailed quality of life survey. Average present weight was reported as 50.9 kg less than
a mean preoperative weight of 139.7 kg. Mean time of follow-up was 24.75 months. When comparing perceptions before and after
surgery, several quality of life improvements were noted in the areas of vocation, relationships, emotional well-being and
physical well-being. Post-surgery, jobs were rated more satisfying, eating habits improved, self-image and self-confidence
increased and body disparagement declined. Satisfaction with sexual relations increased, as did frequency. In general, relations
with partners, co-workers and friends seemed to improve. Exercise also increased significantly. In contrast, foul flatus,
bloating, and bowel movements regularly hampered activities or caused embarassment when in public. Despite these physical
side-effects, we observed that a large majority of persons undergoing ileogastrostomy noted significant improvements in quality
of life. |
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