Subasinghe D, Navarathna NMM, Samarasekera DN. Faecal incontinence and health related quality of life in inflammatory bowel disease patients: Findings from a tertiary care center in South Asia. World J Gastrointest Pharmacol Ther 2016; 7(3): 447-452 [PMID: 27602247 DOI: 10.4292/wjgpt.v7.i3.447]
Corresponding Author of This Article
Dharmabandhu Nandadeva Samarasekera, MBBS (Colombo), MS, MD (East Anglia), FRCS (Eng), FRCS (Edin), PG Cert MedEd (Dundee), Professor of Surgery and Head, Department of Surgery, Faculty of Medicine, University Surgical Unit, the National Hospital of Sri Lanka, Kynsey Road, Colombo 08, Sri Lanka. samarasekera58@yahoo.co.uk
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Pharmacol Ther. Aug 6, 2016; 7(3): 447-452 Published online Aug 6, 2016. doi: 10.4292/wjgpt.v7.i3.447
Table 1 Demographic characteristics of the study population n (%)
Total IBD
UC
CD
Age at the diagnosis (yr)
≤ 10
2 (1.1)
1 (0.7)
1 (3.2)
11-19
17 (9.2)
13 (8.5)
4 (12.9)
20-29
42 (22.8)
25 (16.3)
17 (54.8)
30-39
53 (28.8)
49 (32.0)
4 (12.9)
40-49
39 (21.2)
36 (23.5)
3 (9.7)
50-59
21 (11.4)
19 (12.4)
2 (6.5)
60-69
8 (4.3)
8 (5.2)
-
70-79
2 (1.1)
2 (1.3)
-
Gender
Male
83 (45.1)
62 (40.5)
21 (67.7)
Female
101 (54.9)
91 (59.5)
10 (32.3)
Education
Primary (Grade 1-5)
40 (21.7)
35 (22.9)
5 (16.1)
Secondary (Grade 6-13)
118 (64.1)
101 (66.0)
17 (54.8)
Higher (University or above)
26 (14.1)
17 (11.0)
9 (29.0)
Employment
None
72 (39.1)
64 (41.8)
8 (25.8)
Student
11 (6.0)
11 (7.2)
-
Labourer
63 (34.2)
50 (32.7)
13 (41.9)
Professional
38 (20.7)
28 (18.3)
10 (32.3)
Table 2 Descriptive statistics for the four domains and overall score of the IBDQ-32 and categories
Minimum (Reference)
Maximum (Reference)
Mean
IBDQbowel
10
56
22.33
IBDQSystemic
6
34
12.5
IBDQEmotinal
18
84
34.87
IBDQSocial
5
35
12.3
IBDQTotal
51 (32)
215 (224)
94.28
Table 3 Details of surgical procedures for inflammatory bowel disease
Surgical procedure
Indication
n (%)
UC
Restorative proctocolectomy and ileoanal pouch
Steriod resistance-7 Atypia on histology-4 Sigmoid colon cancer-1
12 (7.8)
Sigmoid colectomy
Stricture of sigmoid colon
1 (0.7)
CD
Drainage and fistulectomy
Perianal abscess and fistula
1 (3.2)
Fistulectomy and repair
Recurrent enterocutaneous fistula
1 (3.2)
Incision and drainage
R/Ischiorectal fossa abscess
1 (3.2)
Repair of the fistula
Enrerocutaneous fistula
2 (6.4)
R/hemicolectomy and ileo transverse anastomosis
Strictures of the colon
4 (12.9)
Total colectomy and ileostomy
Strictures of colon
2 (6.4)
Repair of the fistula
Recto vaginal fistula
1 (3.2)
Strictureplasty, R/hemicolectomy and ileo transverse
Two long segment narrowings –distal ileum
1 (3.2)
Anastomosis
multiple narrowings > 10 in jejunum and proximal ileum and strictures of ascending colon
-
Table 4 Correlation between quality of life components and incontinence scores
Association
Pearson correlation coefficient (Rho value)
IBDQbowel vs Vaizey score
0.74
IBDQSystemic vs Vaizey score
0.13
IBDQEmotinal vs Vaizey score
0.09
IBDQSocial vs Vaizey score
0.3
IBDQTotal vs Vaizey score
0.61
Citation: Subasinghe D, Navarathna NMM, Samarasekera DN. Faecal incontinence and health related quality of life in inflammatory bowel disease patients: Findings from a tertiary care center in South Asia. World J Gastrointest Pharmacol Ther 2016; 7(3): 447-452