Krivokapić Z, Marković V, Barisić G, Popović M, Saranović D
Klinika za digestivnu hirurgiju Institut za bolesti digestivnog sistema KCS Beograd.
Acta Chir Iugosl. 2000;47(1-2):85-9.
Treatment of Ulcerative Colitis was always a challenge for a therapeutist. The therapy of the disease is usually conservative but when refractory or complications occur, surgical treatment is the only appropriate solution. Evolution of surgical techniques in treatment of Ulcerative colitis from bipolar colostomies, by-pass procedures, partial resections, colectomies, proctocolectomies to recent restorative procedures with the ileal-pouch and preservation of the continuity of digestive tract, shows the severity of the disease and explains the dilemmas which surgeons had in choosing the appropriate operation. Inauguration of ileal reservoir in late seventies, brought a new advancement in postoperative results measured by better function and quality of life. Even the ileal reservoir proved its superiority in surgical treatment of Ulcerative colitis, some dilemmas still persist. Should be rectum and continuity of digestive tract preserved by ileal-rectal anastomosis or by restorative coloproctocolectomy and ileal-pouch-anal anastomosis?
对治疗师而言，溃疡性结肠炎的治疗一直是一项挑战。该疾病的治疗通常是保守的，但当出现难治性情况或并发症时，手术治疗是唯一合适的解决方案。从双极结肠造口术、旁路手术、部分切除术、结肠切除术、直肠结肠切除术到最近采用回肠袋并保留消化道连续性的修复性手术，溃疡性结肠炎手术技术的演变表明了该疾病的严重性，并解释了外科医生在选择合适手术时所面临的困境。20世纪70年代末回肠储袋的开创，在通过更好的功能和生活质量衡量的术后结果方面带来了新的进展。即使回肠储袋在溃疡性结肠炎的手术治疗中证明了其优越性，但一些困境仍然存在。是通过回肠直肠吻合术还是通过修复性结肠直肠切除术和回肠袋肛管吻合术来保留直肠和消化道的连续性呢？
