回直肠吻合术治疗溃疡性直肠结肠炎的评估
Evaluation of ileorectal anastomosis for the treatment of ulcerative proctocolitis.
作者信息
Backer O, Hjortrup A, Kjaergaard J
机构信息
Department of Surgical Gastroenterology F, Bispebjerg Hospital, Copenhagen, Denmark.
出版信息
J R Soc Med. 1988 Apr;81(4):210-1. doi: 10.1177/014107688808100408.
Abstract
Of 327 patients treated for ulcerative proctocolitis, 165 underwent surgery and an ileorectal anastomosis was performed in 59: 19 of these patients were operated upon in one stage and 40 in two stages. In 13 cases the anastomoses had to be converted, 5 during the initial hospitalization and 8 during a later admission. Three patients developed carcinoma of the rectal stump. The median follow-up period was 15 years. It is concluded that ileorectal anastomosis has a place in the treatment of inflammatory bowel disease, but requires careful follow up of the patients.
摘要
在327例接受溃疡性全结肠炎治疗的患者中，165例接受了手术，其中59例行回肠直肠吻合术：这些患者中19例一期手术，40例二期手术。13例吻合术不得不更改方式，5例在首次住院期间，8例在后来的入院期间。3例患者发生直肠残端癌。中位随访期为15年。结论是回肠直肠吻合术在炎症性肠病治疗中占有一席之地，但需要对患者进行仔细随访。
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