Beart R W
Department of Surgery, Mayo Clinic, Rochester, Minn. 55901.
Can J Surg. 1987 Sep;30(5):361-2.
The physical inconvenience and adverse psychological impact of ileostomy on patients led surgeons to seek a more normal and acceptable alternative. This is a report of the Mayo Clinic experience with, and modifications of, the ileoanal reservoir procedure. The hospital charts of 188 patients who had a J-pouch construction were reviewed. The operative technique is described. There were no hospital deaths. In 10 patients the operation was a failure. Complications included pelvis sepsis (21 patients), anastomotic sinus (15), anastomotic stricture (22), small-bowel obstruction (43), peritonitis after ileostomy closure (10) and pouchitis (15). Careful patient selection for the procedure is important. Crohn's disease is a contraindication. Of the patients studied, 95% found life more acceptable with an ileoanal anastomosis than with a loop ileostomy.
回肠造口术给患者带来的身体不便和不良心理影响促使外科医生寻求一种更接近正常且更易被接受的替代方法。这是一篇关于梅奥诊所回肠肛管储袋手术的经验及改进的报告。回顾了188例行J形储袋构建患者的医院病历。描述了手术技术。无医院死亡病例。10例患者手术失败。并发症包括盆腔脓毒症（21例）、吻合口窦（15例）、吻合口狭窄（22例）、小肠梗阻（43例）、回肠造口关闭后腹膜炎（10例）和储袋炎（15例）。仔细选择适合该手术的患者很重要。克罗恩病是手术禁忌证。在研究的患者中，95%的人发现回肠肛管吻合术比袢式回肠造口术让生活更易接受。
