Shen Bo
The Interventional IBD (i-IBD) Unit-Desk A31, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Gastrointest Endosc Clin N Am. 2016 Oct;26(4):669-77. doi: 10.1016/j.giec.2016.06.001. Epub 2016 Aug 9.
Restorative proctocolectomy with ileal pouch-anal anastomosis has become the standard surgical treatment modality for patients with ulcerative colitis or familial adenomatous polyposis who require colectomy. Normally staged pouch surgery is performed. Endoscopy plays an important role in postoperative monitoring of disease status and delivery of therapy, if necessary. Therefore, ileal pouch surgery significantly alters bowel anatomy, with new organ structures being created. Endoscopy of the altered bowel includes the evaluation of end ileostomy, Hartmann pouch or diverted rectum, loop ileostomy, diverted pouch, and pouchoscopy. Each segment of the bowel has unique landmarks.
回肠储袋肛管吻合术的结直肠修复切除术已成为溃疡性结肠炎或家族性腺瘤性息肉病患者行结肠切除术后的标准手术治疗方式。通常采用分期储袋手术。内镜检查在术后疾病状态监测以及必要时的治疗实施中发挥着重要作用。因此，回肠储袋手术显著改变了肠道解剖结构，形成了新的器官结构。对改变后的肠道进行内镜检查包括对末端回肠造口、哈特曼储袋或转流直肠、袢式回肠造口、转流储袋和储袋镜检的评估。肠道的每个节段都有独特的标志。
