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

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 surg...

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Bibliographic Details
Published in:Quality of life research 2023-12, Vol.32 (12), p.3309-3326
Main Authors: Hanna, Quincy E. B., Tripp, Dean A., Geirc, Madelaine, Gnat, Lauren, Moayyedi, Paul, Beyak, Michael
Format: Article
Language:English
Subjects:
Crohn's disease
Inflammatory bowel disease
Medicine
Medicine & Public Health
Psychological aspects
Public Health
Quality of Life Research
Review
Sociology
Surgery
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Summary: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.
ISSN:0962-9343
1573-2649
DOI:10.1007/s11136-023-03454-6