Brevinge H, Berglund B, Kock N G
Department of Surgery II, Sahlgrenska sjukhuset, University of Göteborg, Sweden.
Dis Colon Rectum. 1992 Jul;35(7):662-9. doi: 10.1007/BF02053757.
In 28 patients who had previously had a proctocolectomy for ulcerative colitis, the ileostomy output of feces was determined before and after conversion to continent reservoir ileostomy, as was the output of gas in 20 of the patients. The median output of feces/24 hours collected in the hospital was 576 g before and 692 g after conversion (P less than 0.05); when collected at home the corresponding figures were 734 g and 740 g, respectively. In the majority of patients, the change in fecal ileostomy output after the conversion was not considerable, while in a few patients there was a marked increase. The fecal output was 24 percent (P less than 0.01) and 11 percent (P less than 0.01) larger at home than in hospital before and after conversion, respectively. The proportion dry weight of ileostomy discharge decreased after conversion (P less than 0.01). The median gas volume in the ileostomy output/24 hours was 1,664 ml before and 1,450 ml after conversion. The gas constituted 58 percent of the output and is significant with respect to the required reservoir capacity. Recording the emptying volumes and frequency in patients with reservoir ileostomy showed that, in general, patients with large output expand their reservoir capacity instead of increasing their emptying frequency.
在28例先前因溃疡性结肠炎接受过直肠结肠切除术的患者中，测定了转换为可控性贮袋回肠造口术前后的回肠造口粪便排出量，20例患者还测定了气体排出量。在医院收集的粪便中位排出量/24小时，转换前为576克，转换后为692克（P<0.05）；在家收集时，相应数字分别为734克和740克。大多数患者转换后回肠造口粪便排出量变化不大，少数患者则显著增加。转换前和转换后，在家的粪便排出量分别比在医院时多24%（P<0.01）和11%（P<0.01）。转换后回肠造口排泄物的干重比例降低（P<0.01）。回肠造口排出物中气体的中位体积/24小时，转换前为1664毫升，转换后为1450毫升。气体占排出物的58%，对于所需的贮袋容量而言具有重要意义。记录贮袋回肠造口术患者的排空量和频率显示，一般而言，排出量大的患者会扩大其贮袋容量，而非增加排空频率。
