John Goligher Department of Colorectal Surgery, General Infirmary at Leeds, Leeds, UK.
Br J Surg. 2012 Apr;99(4):454-68. doi: 10.1002/bjs.8697. Epub 2012 Feb 3.
Proctocolectomy with ileal pouch-anal anastomosis (IPAA) has been developed and refined since its introduction in the late 1970s. Nonetheless, it is a procedure associated with significant morbidity. The aim of this review was to provide a structured approach to the challenges that surgeons and physicians encounter in the management of intraoperative, postoperative and reoperative problems associated with ileoanal pouches.
The review was based on relevant studies identified from an electronic search of MEDLINE, Embase and PubMed databases from 1975 to April 2011. There were no language or publication year restrictions. Original references in published articles were reviewed.
Although the majority of patients experience long-term success with an ileoanal pouch, significant morbidity surrounds IPAA. Surgical intervention is often critical to achieve optimal control of the situation.
A structured management plan will minimize the adverse consequences of the problems associated with pouches.
自 20 世纪 70 年代末引入直肠结肠切除术和回肠储袋肛管吻合术（IPAA）以来，该手术不断得到发展和完善。尽管如此，它仍是一种与较高发病率相关的手术。本文旨在为外科医生和内科医生在处理与回肠储袋相关的术中、术后和再次手术问题时所遇到的挑战提供一种结构化的方法。
该综述基于从 1975 年至 2011 年 4 月在 MEDLINE、Embase 和 PubMed 数据库中进行的电子检索确定的相关研究。未对语言或出版年份进行限制。查阅了已发表文章中的原始参考文献。
尽管大多数患者对回肠储袋长期成功，但 IPAA 周围仍存在显著的发病率。手术干预通常是实现最佳病情控制的关键。
结构化的管理计划将最小化与储袋相关的问题的不利后果。
