青少年息肉病综合征
Juvenile polyposis syndrome.
作者信息
Upadhyaya Vijai D, Gangopadhyaya A N, Sharma S P, Gopal S C, Gupta D K, Kumar Vijayendra
机构信息
Department of Pediatric Surgery, IMS, BHU, Varanasi, India.
出版信息
J Indian Assoc Pediatr Surg. 2008 Oct;13(4):128-31. doi: 10.4103/0971-9261.44762.
AIM
Report of a series of 12 cases of juvenile polyposis coli.
METHODS
The study period was from 1995 to 2005. All the patients were treated by total colectomy with rectal mucosectomy and endorectal ileoanal pullthrough with or without ileal pouch formation. Covering ileostomy was avoided in all the cases. Time taken for the surgery, postoperative complications and continence were documented.
RESULTS
The mean operating time was 4.2 h (range: 4-5 h). The mean duration of hospital stay was 16.3 days (range: 15-18 days). The most common postoperative complication was pouchitis and perianal excoriation. Initially, all the patients were passing stools at an interval of 2 h, and after 3 weeks, the frequency has reduced to 6-8 stools per day. In the follow-up after 3 months, the frequency was 3-5 per day with minimal soiling.
CONCLUSIONS
Single-stage total colectomy with rectal mucosectomy and endorectal ileoanal pull-through without covering ileostomy and pouch formation is a safe and definitive treatment for juvenile polyposis coli if the patient selection is appropriate.
目的
报告12例幼年性结肠息肉病病例系列。
方法
研究时间段为1995年至2005年。所有患者均接受全结肠切除加直肠黏膜切除及经直肠回肠肛管拖出术，部分患者行或不行回肠储袋成形术。所有病例均避免行覆盖式回肠造口术。记录手术时间、术后并发症及控便情况。
结果
平均手术时间为4.2小时（范围：4 - 5小时）。平均住院时间为16.3天（范围：15 - 18天）。最常见的术后并发症是储袋炎和肛周皮肤擦伤。最初，所有患者排便间隔为2小时，3周后，排便频率降至每天6 - 8次。在3个月的随访中，排便频率为每天3 - 5次，仅有少量便污。
结论
如果患者选择合适，一期全结肠切除加直肠黏膜切除及经直肠回肠肛管拖出术，不进行覆盖式回肠造口术和储袋成形术，是治疗幼年性结肠息肉病的一种安全且确定性的治疗方法。
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