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Erschienen in: Quality of Life Research 12/2023

22.06.2023 | Review

Psychosocial factors associated with j-pouch surgery for patients with IBD: a scoping review

verfasst von: Quincy E. B. Hanna, Dean A. Tripp, Madelaine Geirc, Lauren Gnat, Paul Moayyedi, Michael Beyak

Erschienen in: Quality of Life Research | Ausgabe 12/2023

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Abstract

Background

Ulcerative colitis and Crohn’s disease are subtypes of inflammatory bowel disease: a chronic condition of unclear etiology characterized by inflammation of the small and large intestine. Inflammatory bowel disease is managed with diet, medications, and surgeries, with the most common surgery, recommended to ulcerative colitis patients being j-pouch surgery.

Purpose

To assess the current literature concerning psychosocial factors associated with j-pouch surgery for patients with inflammatory bowel disease.

Methods

A systematic scoping review of the empirical and grey literature was conducted for original research on j-pouch surgery and psychosocial variables. Eight databases were searched: Medline, PsychInfo, CINAHL, EBM Reviews, ProQuest Dissertations and Theses Global, ResearchGate, Prospero, and PrePubMed.

Results

Thirty-nine articles were identified. Many studies (n = 18) adopted a case-series design, and none examined psychosocial interventions. The most popular psychosocial variables assessed were quality of life (n = 34) and those associated with sexual health and functioning (n = 9).

Conclusions

Despite being an established surgical procedure, little research has examined the psychosocial implications of j-pouch surgery. As such, clinicians lack a robust understanding of how this procedure affects patients' psychiatric and social status and adaptive abilities. There is a need for high-quality research utilizing validated measures and rigorous design methodologies with control populations.
Fußnoten
1
Unlike UC, surgery for CD is not curative as inflammation can reoccur in previously healthy tissue after surgery. Because of this, continued medical treatment is usually required. As such, surgeries such as IPAA-J are not generally recommended for CD patients; however, they are still performed in special cases [5].
 
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Metadaten
Titel
Psychosocial factors associated with j-pouch surgery for patients with IBD: a scoping review
verfasst von
Quincy E. B. Hanna
Dean A. Tripp
Madelaine Geirc
Lauren Gnat
Paul Moayyedi
Michael Beyak
Publikationsdatum
22.06.2023
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 12/2023
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03454-6

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