Wesson D E
Department of Surgery, University of Toronto, Ont.
Can J Surg. 1988 May;31(3):182-4.
Mucosal proctectomy with J-pouch construction and ileostomy were performed on eight patients (age range from 4 to 18 years), five with ulcerative colitis and three with familial polyposis coli. Complications of the first stage included transient neuropraxia of the lateral popliteal nerves, partial dehiscence of the ileoanal anastomosis and prolapse of the loop ileostomy. The ileostomy was closed 2 to 7 months after initial surgery and was associated with four further complications: enterocutaneous fistula at the ileostomy site, early and late bowel obstruction and pouchitis. Stool frequency decreased as the length of follow-up increased: 3 to 4 stools daily for three children at 2 years postoperatively compared with 4 to 10 stools daily in all children 1 month after surgery. Functional results were satisfactory and all patients preferred the J pouch to an ileostomy.
对8例患者（年龄4至18岁）实施了带J形贮袋构建的黏膜直肠切除术及回肠造口术，其中5例为溃疡性结肠炎患者，3例为家族性腺瘤性息肉病患者。第一阶段的并发症包括腘外侧神经短暂性神经失用、回肠肛管吻合口部分裂开及袢式回肠造口脱垂。回肠造口在初次手术后2至7个月关闭，又出现了另外4种并发症：回肠造口部位的肠皮肤瘘、早期和晚期肠梗阻以及贮袋炎。随着随访时间延长，排便次数减少：术后2年时3名儿童每日排便3至4次，而术后1个月时所有儿童每日排便4至10次。功能结果令人满意，所有患者都更喜欢J形贮袋而非回肠造口。
