P281 Conversion of the ileal pouch-anal anastomosis to a continent ileostomy – outcome and patient satisfaction

Abstract Background This is a description of consecutive patients converted from ileal pouch-anal anastomosis (IPAA) to continent ileostomy (CI) at tertiary centre, outcome after surgery and patient satisfaction long time follow-up. Methods All operated with IPAA which later was CI Sahlgrenska University Hospital, Gothenburg, Sweden, were included in the study. Demographic data registered questionnaire regarding quality life sent patients. Results A total 28 during period 1985-2022. The most common diagnosis Ulcerative Colitis (UC) (n=23), other diagnoses Crohn′s disease (n=2) Familial Adenomatous Polyposis (n=1) (missing n=2). performed mean age 30 (15-49) years 39 (22-62) years. At follow-up, three diseased, not related conversion surgery, one had moved abroad. remaining 24 completed questionnaire. 20/28 (71%) still their function. 17/28 (61%) due fistula problems rest functional problems. using IPAA-pouch 4/28 (14%) new-constructed reservoir n=4). Totally, 18/20 (90% p<0.001) satisfied 19/20 (95% would choose it again if they facing same situation, even needed revision (mean 2 (0-5) surgeries). Four required excision CI. excised UC original IPAA. main reason for group inner meatus (three woman anovaginal man perianal fistula). Conclusion an alternative that seem be with, follow-up time, when no longer suitable alternative. majority this study IPAA-pouch.