Colquhoun Patrick H D, Efron Jonathan, Wexner Steven D
Department of Colorectal Surgery, Cleveland Clinic Florida, Weston and Naples, Florida, USA.
Dis Colon Rectum. 2004 Apr;47(4):538-41. doi: 10.1007/s10350-003-0074-x. Epub 2004 Feb 25.
Numerous proven surgical therapies now exist to compensate for loss of anal sphincter function or loss of rectal reservoir capacity. Fecal incontinence that results from the combined loss of rectal reservoir and anal sphincter tone remains a surgical challenge. This case describes what may be the first successful treatment of a patient with imperforate anus and familial adenomatous polyposis using an ileal J-pouch and artificial bowel sphincter.
现在有许多经过验证的外科治疗方法来弥补肛门括约肌功能丧失或直肠储袋功能丧失。因直肠储袋和肛门括约肌张力共同丧失导致的大便失禁仍然是一个外科挑战。本病例描述了可能是首例使用回肠J形储袋和人工肛门括约肌成功治疗一名先天性无肛和家族性腺瘤性息肉病患者的情况。