Metabolic changes during the defunctionalized stage after ileal pouch-anal anastomosis

Ernest Max, Guillermo Trabanino, Richard K. Reznick, H. Randolph Bailey, Kenneth W. Smith

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Metabolic changes between the preoperative period and the defunctionalized stage after ileal pouch-anal anastomosis were investigated in 21 patients. Aspects studied included weight change, renal function, liver function, lipid metabolism, and two hematologic parameters. Of 21 patients, 19 lost weight. Cholesterol levels decreased from 183±30 IU/I to 122±48 IU/I (P<.0001). Triglyceride levels rose from 95±29 IU/I to 190±86 IU/I (P<.01). Significant elevations were seen in values of four liver function tests: SGOT, SGPT, lactic dehydrogenase, and alkaline phosphatase (P<.05). Blood urea nitrogen levels increased from 11.1±4.7 mg/100 ml to 21.8±24.8 mg/100 ml (P<.05). Serum creatinine levels rose from 0.97±.18 mg/100 ml to 1.5±1.2 mg/100 ml (P<.05). Uric acid levels increased from 5.6±1.8 mg/100 ml to 7.5±2.3 mg/100 ml (P<.001). Hemoglobin values did not change significantly. Platelet counts rose from 304,000±79,000 to 447,800±189,000 (P<.05). Identification of these systematic alterations in metabolic parameters during the defunctionalized stage can aid the physician in management of these patients.

Original languageEnglish (US)
Pages (from-to)508-512
Number of pages5
JournalDiseases of the Colon & Rectum
Volume30
Issue number7
DOIs
StatePublished - Jul 1 1987

Keywords

  • Familial polyposis
  • Reconstructive surgery
  • Restorative proctocolectomy
  • Ulcerative colitis

ASJC Scopus subject areas

  • Gastroenterology

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