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Long-term health-related quality of life after minimally invasive surgery for diverticular disease

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Abstract

Background and aims

The aim of this multicentric study was to evaluate the disease specific and the generic quality of life in patients affected by colonic diverticular disease (DD) who had undergone minimally invasive or open colonic resection or who had been treated with medical therapy in the long-term follow-up.

Patients and methods

Seventy-one consecutive patients admitted to the departments of surgery of Padova and Arzignano Hospitals for DD were interviewed: 22 underwent minimally invasive colonic resection, 24 had open resection, and 25 had only medical therapy. The interview focused on disease specific and generic quality of life, body image, and disease activity.

Results

Padova Inflammatory Bowel Disease Quality of Life (PIBDQL) was validated for the use in DD patients. PIBDQL scores were significantly worse in all patients with DD than those obtained by healthy subjects and it correlated with the symptoms score. The generic quality of life seemed similar in patients who had minimally invasive colonic resection compared with healthy subjects. Body Image Questionnaire scores correlated inversely with the presence of a stoma.

Conclusions

Disease activity resulted as the only independent predictor of the disease-specific quality of life. In fact, DD affected bowel function and quality of life of patients in the long-term follow-up regardless of the type of therapy adopted. The presence of a stoma affected the patients’ body image.

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Acknowledgment

The authors are extremely grateful to Ida Ruffolo, a Ph.D. student in “Language analysis and interdisciplinary studies” at the University of Calabria (Italy) for her kind help in the revision of the English language and for editing the final version of the paper.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Oncological Surgery Unit, Veneto Institute of Oncology (IOV-IRCCS), via Gattamelata 64, 35128, Padova, Italy

    Marco Scarpa

  2. Department of Surgery, Ospedale Civile, Arzignano, Italy

    Luciano Griggio & Sabrina Rampado

  3. IV Unit of Surgery, Ospedale Regionale “Ca’ Foncello”, Treviso, Italy

    Cesare Ruffolo

  4. Department of Surgical and Gastroenterological Sciences, University of Padova, Padova, Italy

    Marilisa Citton, Anna Pozza, Lara Borsetto & Imerio Angriman

  5. Oncological Surgery Unit, Veneto Institute of Oncology (IOV-IRCCS), Padova, Italy

    Luigi Dall’Olmo

Authors
  1. Marco Scarpa
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  2. Luciano Griggio
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  3. Sabrina Rampado
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  4. Cesare Ruffolo
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  5. Marilisa Citton
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  6. Anna Pozza
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  7. Lara Borsetto
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  8. Luigi Dall’Olmo
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  9. Imerio Angriman
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Corresponding author

Correspondence to Marco Scarpa.

Additional information

Preliminary results of this study were presented as a poster at the 50th annual meeting of the Society for Surgery of the Alimentary Tract (Digestive Disease Week), May 30–June 3, 2009 Chicago, Illinois, USA

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Scarpa, M., Griggio, L., Rampado, S. et al. Long-term health-related quality of life after minimally invasive surgery for diverticular disease. Langenbecks Arch Surg 396, 833–843 (2011). https://doi.org/10.1007/s00423-011-0749-z

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  • DOI: https://doi.org/10.1007/s00423-011-0749-z

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