Wagner-Bartak Nicolaus A, Levine Marc S, Rubesin Stephen E, Laufer Igor, Rombeau John L, Lichtenstein Gary R
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, USA.
AJR Am J Roentgenol. 2005 Jun;184(6):1843-7. doi: 10.2214/ajr.184.6.01841843.
The purpose of this study was to describe our experience with six patients who developed Crohn's disease in the ileal pouch or distal ileum after a total proctocolectomy and ileal pouch-anal anastomosis for ulcerative colitis.
Pouch enemas showed characteristic findings of Crohn's disease, including nodularity, thickened folds, ulceration, cobblestoning, strictures, sinus tracks, and fistulas to the perianal region and vagina. It is important for radiologists to be aware of the findings of Crohn's disease in the ileal pouch and distal ileum on radiographic studies of the pouch after total proctocolectomy and ileal pouch-anal anastomosis for ulcerative colitis because of the implications for patient management.
本研究的目的是描述我们对6例在溃疡性结肠炎行全直肠结肠切除术和回肠储袋肛管吻合术后，在回肠储袋或回肠末端发生克罗恩病患者的治疗经验。
储袋灌肠显示出克罗恩病的特征性表现，包括结节状、皱襞增厚、溃疡、鹅卵石样改变、狭窄、窦道以及通向肛周区域和阴道的瘘管。对于放射科医生而言，了解溃疡性结肠炎行全直肠结肠切除术和回肠储袋肛管吻合术后，在对储袋进行影像学检查时回肠储袋和回肠末端克罗恩病的表现非常重要，因为这对患者的治疗有影响。
