Mo1630 Length of Bowel Distal to a Diverting Ileostomy (DI) Does Not Influence the Risk of Dehydration After Ileal Pouch-Anal Anastomosis (IPAA)

Abstract

S A T A b st ra ct s without adhesions (p = 0.60). In the multivariable analysis, factors independently decreasing the risk for having CPAP were higher age (OR 0.97; p 0.001) and BMI (OR 0.93; p 0.006), lower preoperative anxiety and depression symptom score (OR 0.32; p 0.045), and usage of a median incision (OR 0.52; p 0.006) (table 1). The presence of pain longer than three months (OR 3.99; p 0.000), preoperative usage of opioid analgesia (OR 3.54; p 0.001), a higher minimal NRS value on postoperative day 2 (OR 1.23; p 0.004) and severe adhesions underneath the incision (OR 1.63; p 0.040) showed to independently increase the risk for having abdominal pain 6 months after surgery. Conclusion 1 in 3 patients will have CPAP 6 months after elective abdominal surgery. The duration of preoperative pain, preoperative usage of opioid analgesia and the severity of acute postoperative pain and severe adhesions underneath the incision increase the risk for having CPAP 6 months after surgery. Older age and lower preoperative anxiety and depression symptom score showed to be protective for CPAP. These results can be used for improving patient counseling. Table 1 Multivariable logistic regression analysis for having chronic postoperative abdominal pain* (CPAP)