Table 1.

Clinical information of patients with UC who received RPC with IPAA, comparing between patients with and without pouchitis.

Patients with UC who received RPC with IPAA
TotalWith pouchitisWithout pouchitisP-value
Number of patients, n16610
Median age at RPC, years (range)49.5 (25-76)41.5 (25-48)55.0 (47-76).0005
Median disease duration before RPC, years (range)9.45 (0.3-32.4)8.9 (0.3-22.3)11.3 (1.1-32.4).3676
Median observation period, years (range)3.47 (1.4-4.8)3.8 (2.3-4.8)2.4 (1.4-4.8).1882
Median period from RPC to ileostomy closure, days (range)107 (0-407)94 (0-147)115 (0-407).4850
Sex
 Male, n (%)8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Female, n (%)8 (50.0%)3 (50.0%)5 (50.0%)
Smoking
 Past smoker, n (%)7 (43.8%)1 (16.7%)6 (60.0%).1451
 Never smoker, n (%)9 (56.3%)5 (83.3%)4 (40.0%)
Extraintestinal manifestation, n000
Cause of RPC, n (%)
 Refractory4 (25.0%)1 (16.7%)3 (30.0%).1037
 CAC11 (68.8%)5 (83.3%)6 (60.0%)
 Stenosis1 (6.3%)01 (10.0%)
Extent of UC, n (%)
 Pancolitis12 (75.0%)6 (100%)6 (60.0%).2335
 Left-sided colitis4 (25.0%)04 (40.0%)
Median pMS (range)1.5 (1-9)1 (1-9)2.5 (1-8).5210
Median MES (range)2 (1-3)2 (1-2)2 (1-3)1.0000
Treatment of UC at RPC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid000
 Immunomodulator8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Biological agent6 (37.5%)2 (33.3%)4 (40.0%)1.0000
 Calcineurin inhibitor2 (12.5%)1 (16.7%)1 (10.0%)1.0000
 Apheresis000
Previous treatment of UC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid9 (56.3%)3 (50.0%)6 (60.0%)1.0000
 Immunomodulator11 (68.8%)4 (66.7%)7 (70.0%)1.0000
 Biological agent9 (56.3%)4 (66.7%)5 (50.0%).6329
 Calcineurin inhibitor4 (25.0%)1 (16.7%)3 (30.0%)1.0000
 Apheresis8 (50.0%)2 (33.3%)6 (60.0%)1.0000
Surgical procedure, n (%)
 IPAA10 (62.5%)2 (33.3%)8 (80.0%).1181
 IPACA6 (37.5%)4 (66.7%)2 (20.0%)
Patients with UC who received RPC with IPAA
TotalWith pouchitisWithout pouchitisP-value
Number of patients, n16610
Median age at RPC, years (range)49.5 (25-76)41.5 (25-48)55.0 (47-76).0005
Median disease duration before RPC, years (range)9.45 (0.3-32.4)8.9 (0.3-22.3)11.3 (1.1-32.4).3676
Median observation period, years (range)3.47 (1.4-4.8)3.8 (2.3-4.8)2.4 (1.4-4.8).1882
Median period from RPC to ileostomy closure, days (range)107 (0-407)94 (0-147)115 (0-407).4850
Sex
 Male, n (%)8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Female, n (%)8 (50.0%)3 (50.0%)5 (50.0%)
Smoking
 Past smoker, n (%)7 (43.8%)1 (16.7%)6 (60.0%).1451
 Never smoker, n (%)9 (56.3%)5 (83.3%)4 (40.0%)
Extraintestinal manifestation, n000
Cause of RPC, n (%)
 Refractory4 (25.0%)1 (16.7%)3 (30.0%).1037
 CAC11 (68.8%)5 (83.3%)6 (60.0%)
 Stenosis1 (6.3%)01 (10.0%)
Extent of UC, n (%)
 Pancolitis12 (75.0%)6 (100%)6 (60.0%).2335
 Left-sided colitis4 (25.0%)04 (40.0%)
Median pMS (range)1.5 (1-9)1 (1-9)2.5 (1-8).5210
Median MES (range)2 (1-3)2 (1-2)2 (1-3)1.0000
Treatment of UC at RPC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid000
 Immunomodulator8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Biological agent6 (37.5%)2 (33.3%)4 (40.0%)1.0000
 Calcineurin inhibitor2 (12.5%)1 (16.7%)1 (10.0%)1.0000
 Apheresis000
Previous treatment of UC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid9 (56.3%)3 (50.0%)6 (60.0%)1.0000
 Immunomodulator11 (68.8%)4 (66.7%)7 (70.0%)1.0000
 Biological agent9 (56.3%)4 (66.7%)5 (50.0%).6329
 Calcineurin inhibitor4 (25.0%)1 (16.7%)3 (30.0%)1.0000
 Apheresis8 (50.0%)2 (33.3%)6 (60.0%)1.0000
Surgical procedure, n (%)
 IPAA10 (62.5%)2 (33.3%)8 (80.0%).1181
 IPACA6 (37.5%)4 (66.7%)2 (20.0%)

Abbreviations: CAC, colitis-associated cancer; IPAA, ileal pouch-anal anastomosis; IPACA, ileal pouch-anal canal anastomosis; MES, Mayo Endoscopic Subscore; pMS, partial Mayo Score; RPC, restorative proctocolectomy; UC, ulcerative colitis. Statistical analysis was performed using Mann-Whitney U test for continuous variables, and Fisher’s exact test for categorical variables.

Table 1.

Clinical information of patients with UC who received RPC with IPAA, comparing between patients with and without pouchitis.

Patients with UC who received RPC with IPAA
TotalWith pouchitisWithout pouchitisP-value
Number of patients, n16610
Median age at RPC, years (range)49.5 (25-76)41.5 (25-48)55.0 (47-76).0005
Median disease duration before RPC, years (range)9.45 (0.3-32.4)8.9 (0.3-22.3)11.3 (1.1-32.4).3676
Median observation period, years (range)3.47 (1.4-4.8)3.8 (2.3-4.8)2.4 (1.4-4.8).1882
Median period from RPC to ileostomy closure, days (range)107 (0-407)94 (0-147)115 (0-407).4850
Sex
 Male, n (%)8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Female, n (%)8 (50.0%)3 (50.0%)5 (50.0%)
Smoking
 Past smoker, n (%)7 (43.8%)1 (16.7%)6 (60.0%).1451
 Never smoker, n (%)9 (56.3%)5 (83.3%)4 (40.0%)
Extraintestinal manifestation, n000
Cause of RPC, n (%)
 Refractory4 (25.0%)1 (16.7%)3 (30.0%).1037
 CAC11 (68.8%)5 (83.3%)6 (60.0%)
 Stenosis1 (6.3%)01 (10.0%)
Extent of UC, n (%)
 Pancolitis12 (75.0%)6 (100%)6 (60.0%).2335
 Left-sided colitis4 (25.0%)04 (40.0%)
Median pMS (range)1.5 (1-9)1 (1-9)2.5 (1-8).5210
Median MES (range)2 (1-3)2 (1-2)2 (1-3)1.0000
Treatment of UC at RPC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid000
 Immunomodulator8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Biological agent6 (37.5%)2 (33.3%)4 (40.0%)1.0000
 Calcineurin inhibitor2 (12.5%)1 (16.7%)1 (10.0%)1.0000
 Apheresis000
Previous treatment of UC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid9 (56.3%)3 (50.0%)6 (60.0%)1.0000
 Immunomodulator11 (68.8%)4 (66.7%)7 (70.0%)1.0000
 Biological agent9 (56.3%)4 (66.7%)5 (50.0%).6329
 Calcineurin inhibitor4 (25.0%)1 (16.7%)3 (30.0%)1.0000
 Apheresis8 (50.0%)2 (33.3%)6 (60.0%)1.0000
Surgical procedure, n (%)
 IPAA10 (62.5%)2 (33.3%)8 (80.0%).1181
 IPACA6 (37.5%)4 (66.7%)2 (20.0%)
Patients with UC who received RPC with IPAA
TotalWith pouchitisWithout pouchitisP-value
Number of patients, n16610
Median age at RPC, years (range)49.5 (25-76)41.5 (25-48)55.0 (47-76).0005
Median disease duration before RPC, years (range)9.45 (0.3-32.4)8.9 (0.3-22.3)11.3 (1.1-32.4).3676
Median observation period, years (range)3.47 (1.4-4.8)3.8 (2.3-4.8)2.4 (1.4-4.8).1882
Median period from RPC to ileostomy closure, days (range)107 (0-407)94 (0-147)115 (0-407).4850
Sex
 Male, n (%)8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Female, n (%)8 (50.0%)3 (50.0%)5 (50.0%)
Smoking
 Past smoker, n (%)7 (43.8%)1 (16.7%)6 (60.0%).1451
 Never smoker, n (%)9 (56.3%)5 (83.3%)4 (40.0%)
Extraintestinal manifestation, n000
Cause of RPC, n (%)
 Refractory4 (25.0%)1 (16.7%)3 (30.0%).1037
 CAC11 (68.8%)5 (83.3%)6 (60.0%)
 Stenosis1 (6.3%)01 (10.0%)
Extent of UC, n (%)
 Pancolitis12 (75.0%)6 (100%)6 (60.0%).2335
 Left-sided colitis4 (25.0%)04 (40.0%)
Median pMS (range)1.5 (1-9)1 (1-9)2.5 (1-8).5210
Median MES (range)2 (1-3)2 (1-2)2 (1-3)1.0000
Treatment of UC at RPC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid000
 Immunomodulator8 (50.0%)3 (50.0%)5 (50.0%)1.0000
 Biological agent6 (37.5%)2 (33.3%)4 (40.0%)1.0000
 Calcineurin inhibitor2 (12.5%)1 (16.7%)1 (10.0%)1.0000
 Apheresis000
Previous treatment of UC, n (%)
 5-Aminosalicylic acid16 (100%)6 (100%)10 (100%)1.0000
 Corticosteroid9 (56.3%)3 (50.0%)6 (60.0%)1.0000
 Immunomodulator11 (68.8%)4 (66.7%)7 (70.0%)1.0000
 Biological agent9 (56.3%)4 (66.7%)5 (50.0%).6329
 Calcineurin inhibitor4 (25.0%)1 (16.7%)3 (30.0%)1.0000
 Apheresis8 (50.0%)2 (33.3%)6 (60.0%)1.0000
Surgical procedure, n (%)
 IPAA10 (62.5%)2 (33.3%)8 (80.0%).1181
 IPACA6 (37.5%)4 (66.7%)2 (20.0%)

Abbreviations: CAC, colitis-associated cancer; IPAA, ileal pouch-anal anastomosis; IPACA, ileal pouch-anal canal anastomosis; MES, Mayo Endoscopic Subscore; pMS, partial Mayo Score; RPC, restorative proctocolectomy; UC, ulcerative colitis. Statistical analysis was performed using Mann-Whitney U test for continuous variables, and Fisher’s exact test for categorical variables.

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