Factors Associated with Performing Ileal Pouch-Anal Anastomosis After Total Colectomy for Ulcerative Colitis

Approximately 50.2% of patients who underwent total colectomy for ulcerative colitis in the United States received ileal pouch-anal anastomosis. Younger age, lower comorbidities, elective cases, and laparoscopic approach were associated with a higher likelihood of undergoing this procedure. Socioeconomic status did not influence the decision. These findings highlight the importance of providing restorative surgery as an option, particularly for patients undergoing urgent or emergent colectomies.