Tiret E, Kartheuser A, Legrand M, Penna C, Parc R
Centre de Chirurgie Digestive, Hôpital Saint-Antoine, Paris, France.
Acta Gastroenterol Belg. 1990 Jul-Aug;53(4):423-9.
Two hundred twenty-four ileal pouch-anal anastomoses have been made, 122 for ulcerative colitis and 102 for familial adenomatous polyposis. All the patients had a J pouch and a diverting temporary ileostomy. Mortality was 0.5%. Twenty-eight % of the patients with ulcerative colitis and 24% of the patients with familial adenomatous polyposis had various postoperative complications. Seventy-two patients with ulcerative colitis had a follow-up of more than one year. They had a mean of 4.6 stools per 24 hours; 84% had a normal day-time continence and 70% a normal nocturnal continence. Sixty-nine patients with familial adenomatous polyposis had a follow-up of more than one year. They had a mean of 4.1 stools per 24 hours; 93% had a normal daytime continence and 91% a normal nocturnal continence. In conclusion, ileal pouch-anal anastomosis can be made safely, with good functional results.
已进行了224例回肠贮袋肛管吻合术，其中122例用于溃疡性结肠炎，102例用于家族性腺瘤性息肉病。所有患者均采用J形贮袋并做了暂时性转流性回肠造口术。死亡率为0.5%。28%的溃疡性结肠炎患者和24%的家族性腺瘤性息肉病患者出现了各种术后并发症。72例溃疡性结肠炎患者接受了超过1年的随访。他们平均每24小时排便4.6次；84%的患者白天控便正常，70%的患者夜间控便正常。69例家族性腺瘤性息肉病患者接受了超过1年的随访。他们平均每24小时排便4.1次；93%的患者白天控便正常，91%的患者夜间控便正常。总之，回肠贮袋肛管吻合术可以安全进行，且功能效果良好。
