Hosie K B, Kmiot W A, Keighley M R
Department of Surgery, Queen Elizabeth Hospital, Birmingham, UK.
Br J Surg. 1990 Jul;77(7):801-2. doi: 10.1002/bjs.1800770726.
We have extended our experience of restorative proctocolectomy and ileoanal anastomosis to include 13 patients with functional bowel disorders. Eight had recurrent constipation after colectomy for slow transit constipation and five had constipation and overflow incontinence associated with megarectum and megacolon. In all cases the only alternative was a permanent stoma. Despite a high complication rate, 11 patients (85 per cent) felt that the operation had been worthwhile with improvement of their symptoms and quality of life. The operation led to a mean frequency of defaecation of 4.8 times (range 2-8) during the day, and 1.2 times (range 0-4) during the night. There was no frank incontinence and, while only one patient experienced soiling during the day, six patients suffered from night-time soiling. Two patients have had the pouch converted to an ileostomy due to persistent complications and a poor functional result.
我们将直肠结肠切除及回肠肛管吻合术的经验扩展至13例功能性肠病患者。其中8例因慢传输型便秘行结肠切除术后出现复发性便秘，5例伴有巨直肠和巨结肠的便秘及充溢性失禁。在所有病例中，唯一的替代方案是永久性造口。尽管并发症发生率较高，但11例患者（85%）认为手术是值得的，症状和生活质量均有改善。术后白天平均排便频率为4.8次（范围2 - 8次），夜间为1.2次（范围0 - 4次）。无明显失禁，仅1例患者白天有便污，6例患者夜间有便污。2例患者因持续并发症及功能结果不佳，已将贮袋改为回肠造口。
