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Psychosocial factors associated with j-pouch surgery for patients with IBD: a scoping review

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Abstract

Background

Ulcerative colitis and Crohn’s disease are subtypes of inflammatory bowel disease: a chronic condition of unclear etiology characterized by inflammation of the small and large intestine. Inflammatory bowel disease is managed with diet, medications, and surgeries, with the most common surgery, recommended to ulcerative colitis patients being j-pouch surgery.

Purpose

To assess the current literature concerning psychosocial factors associated with j-pouch surgery for patients with inflammatory bowel disease.

Methods

A systematic scoping review of the empirical and grey literature was conducted for original research on j-pouch surgery and psychosocial variables. Eight databases were searched: Medline, PsychInfo, CINAHL, EBM Reviews, ProQuest Dissertations and Theses Global, ResearchGate, Prospero, and PrePubMed.

Results

Thirty-nine articles were identified. Many studies (n = 18) adopted a case-series design, and none examined psychosocial interventions. The most popular psychosocial variables assessed were quality of life (n = 34) and those associated with sexual health and functioning (n = 9).

Conclusions

Despite being an established surgical procedure, little research has examined the psychosocial implications of j-pouch surgery. As such, clinicians lack a robust understanding of how this procedure affects patients' psychiatric and social status and adaptive abilities. There is a need for high-quality research utilizing validated measures and rigorous design methodologies with control populations.

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Data availability

The data collected and analyzed in this article will be made available upon reasonable request to the corresponding author.

Notes

  1. Unlike UC, surgery for CD is not curative as inflammation can reoccur in previously healthy tissue after surgery. Because of this, continued medical treatment is usually required. As such, surgeries such as IPAA-J are not generally recommended for CD patients; however, they are still performed in special cases [5].

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Authors and Affiliations

  1. Department of Psychology, Queen’s University, Kingston, ON, Canada

    Quincy E. B. Hanna & Lauren Gnat

  2. Department’s of Psychology, Anesthesiology & Urology, Queen’s University, Kingston, ON, Canada

    Dean A. Tripp

  3. School of Kinesiology, University of British Columbia, Vancouver, BC, Canada

    Madelaine Geirc

  4. Department Gastroenterology, McMaster University, Hamilton, ON, Canada

    Paul Moayyedi

  5. Division of Gastroenterology, Department of Medicine, Queen’s University, Kingston, ON, Canada

    Michael Beyak

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All authors meaningfully contributed to the preparation of this manuscript. Study conceptualization and design were performed by QH and DT. The review process was performed by QH and LG, with supervision from DT. The quality assessment was performed by QH and LG, with guidance from MG. The data extraction was performed by QH and LG. The data analysis was performed by QH, with guidance from DT. All manuscript drafts were written and prepared by QH. All authors commented on all versions of the manuscript. All authors read and approved of the final manuscript, and consented to its submission for publication.

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Correspondence to Dean A. Tripp.

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Hanna, Q.E.B., Tripp, D.A., Geirc, M. et al. Psychosocial factors associated with j-pouch surgery for patients with IBD: a scoping review. Qual Life Res 32, 3309–3326 (2023). https://doi.org/10.1007/s11136-023-03454-6

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