Golladay E S
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock.
South Med J. 1988 Dec;81(12):1571-3. doi: 10.1097/00007611-198812000-00026.
Two children with diffuse juvenile polyposis were managed by ileoendorectal pull-through. The procedure was more difficult and time-consuming because each stalk in the rectum had a well established blood supply, thus causing bleeding, and because it was difficult to manipulate the mucosal sleeve, as the polyps obstructed the lumen. Both children had satisfactory long-term results after reconstruction with an isoperistaltic pouch. I believe that in cases of diffuse juvenile polyposis, proctoscopic removal of all of the rectal polyps two to three weeks before the definitive procedure may greatly facilitate it.
两名患有弥漫性幼年性息肉病的儿童接受了回肠直肠拖出术治疗。该手术更为困难且耗时，原因在于直肠内的每个息肉蒂都有完善的血供，从而导致出血，并且由于息肉阻塞肠腔，难以操作黏膜套。两名儿童在采用等蠕动袋重建后均获得了满意的长期效果。我认为，对于弥漫性幼年性息肉病病例，在确定性手术前两到三周通过直肠镜切除所有直肠息肉可能会极大地便利手术。
