急性结肠炎和中毒性巨结肠的管理
Management of acute colitis and toxic megacolon.
作者信息
Strong Scott A
机构信息
Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio. USA.
出版信息
Clin Colon Rectal Surg. 2010 Dec;23(4):274-84. doi: 10.1055/s-0030-1268254.
Abstract
Severe colitis is a well-defined condition that can develop in patients afflicted with ulcerative colitis, but typically responds to a variety of medical therapies. Operative intervention is warranted when massive hemorrhage, perforation, or peritonitis complicates the clinical scenario or medical therapy fails to control the disease. Of the operative options, total/subtotal colectomy and end ileostomy is the usual procedure of choice especially if the operation can be performed through a laparoscopic approach.
摘要
重症结肠炎是一种明确的病症，可发生于溃疡性结肠炎患者，但通常对多种药物治疗有反应。当出现大出血、穿孔或腹膜炎使临床情况复杂化，或药物治疗无法控制病情时，需要进行手术干预。在手术选择中，全结肠/次全结肠切除术及末端回肠造口术是通常的首选术式，尤其是如果手术能够通过腹腔镜途径进行。
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