Surgery Today

, Volume 35, Issue 3, pp 211–215

Anal Function During Pregnancy and Postpartum After Ileal Pouch Anal Anastomosis for Ulcerative Colitis

  • Taku Kitayama
  • Yuji Funayama
  • Kouhei Fukushima
  • Chikashi Shibata
  • Ken-ichi Takahashi
  • Hitoshi Ogawa
  • Tatsuya Ueno
  • Akihiko Hashimoto
  • Iwao Sasaki
Article

DOI: 10.1007/s00595-004-2926-y

Cite this article as:
Kitayama, T., Funayama, Y., Fukushima, K. et al. Surg Today (2005) 35: 211. doi:10.1007/s00595-004-2926-y

Abstract

Purpose

Total proctocolectomy and ileal pouch anal anastomosis (IPAA) is now a common procedure for ulcerative colitis (UC). Moreover, it has been reported that fertility is preserved in women who undergo this procedure, many of whom can experience normal delivery.

Methods

We assessed the perinatal outcomes and changes in anal function in four women, aged from 27 to 35 years, who gave birth after undergoing IPAA for UC. Pregnancies were confirmed 15–111 months after IPAA, three women had full-term pregnancies, and one gave birth after 31 weeks’ gestation.

Results

Cephalic delivery with a vacuum extractor was used for one patient, and another underwent cesarean section. The other two patients experienced normal delivery. None of the patients needed artificial insemination and none had any symptoms of intestinal obstruction during their pregnancy. After delivery, two patients suffered a transient increase in bowel frequency and soiling, which gradually resolved.

Conclusions

Although transient anal dysfunction occurred in the puerperal period, there were no changes in anal function during pregnancy. Therefore, there are no factors directly prohibiting pregnancy and vaginal delivery in women who undergo IPAA for UC.

Key words

Ileal pouch anal anastomosis Delivery Pregnancy Ulcerative colitis 

Copyright information

© Springer-Verlag Tokyo 2005

Authors and Affiliations

  • Taku Kitayama
    • 1
  • Yuji Funayama
    • 1
  • Kouhei Fukushima
    • 1
  • Chikashi Shibata
    • 1
  • Ken-ichi Takahashi
    • 1
  • Hitoshi Ogawa
    • 1
  • Tatsuya Ueno
    • 1
  • Akihiko Hashimoto
    • 1
  • Iwao Sasaki
    • 1
  1. 1.Department of Surgery, Division of Gastrointestinal and Colorectal SurgeryTohoku University Graduate School of MedicineSendaiJapan

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