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2
Management of pouch-vaginal fistulas - experience from our institution. pouch-vaginal 瘘管的管理 - 来自我们机构的经验。
Colorectal Dis. 2020 Apr;22(4):439-444. doi: 10.1111/codi.14904. Epub 2019 Dec 5.
3
Hand-Crafted Endoluminal Vacuum-Assisted Drainage for Anastomotic Leak After IPAA.经肛全直肠系膜切除术(IPAA)后吻合口漏采用手工制作的腔内真空辅助引流。
Dis Colon Rectum. 2019 Oct;62(10):1259-1262. doi: 10.1097/DCR.0000000000001453.
4
Does laparoscopic ileal pouch-anal anastomosis reduce infertility compared with open approach?腹腔镜回肠贮袋肛管吻合术与开放手术相比,是否能降低不孕率?
Surgery. 2019 Oct;166(4):670-677. doi: 10.1016/j.surg.2019.04.045. Epub 2019 Aug 14.
5
Long-Term Bowel Function and Fate of the Ileal Pouch After Restorative Proctocolectomy in Patients With Crohn's Disease: A Systematic Review With Meta-Analysis and Metaregression.克罗恩病患者行结直肠切除术后回肠储袋的长期肠道功能及转归:一项Meta分析和Meta回归的系统评价
J Crohns Colitis. 2020 Mar 13;14(3):418-427. doi: 10.1093/ecco-jcc/jjz146.
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Diverted versus undiverted restorative proctocolectomy for chronic ulcerative colitis: an analysis of long-term outcomes after pouch leak short title: outcomes after pouch leak.对于慢性溃疡性结肠炎,采用分流与非分流修复性直肠结肠切除术:对造口漏后长期结局的分析。 标题:造口漏后的结局。
Int J Colorectal Dis. 2019 Apr;34(4):691-697. doi: 10.1007/s00384-019-03240-2. Epub 2019 Jan 25.
7
What Is the Best Surgical Treatment of Pouch-Vaginal Fistulas?经阴道袋状阴道瘘的最佳手术治疗方法是什么?
Dis Colon Rectum. 2019 May;62(5):595-599. doi: 10.1097/DCR.0000000000001313.
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Drain fluid amylase as a sensitive biomarker for the early detection of anastomotic leakage in ileal pouch surgery.检测引流液淀粉酶作为早期发现回肠储袋吻合口漏的敏感生物标志物。
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回肠储袋肛管吻合术后吻合口漏

Anastomotic Leak after Ileal Pouch-Anal Anastomosis.

作者信息

Guyton Kristina, Kearney David, Holubar Stefan D

机构信息

Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.

出版信息

Clin Colon Rectal Surg. 2021 Nov 23;34(6):417-425. doi: 10.1055/s-0041-1735274. eCollection 2021 Nov.

DOI:10.1055/s-0041-1735274
PMID:34853564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8610637/
Abstract

There are special considerations when treating anastomotic leak after restorative proctocolectomy and ileal pouch-anal anastomosis. The epidemiology, risk factors, anatomic considerations, diagnosis and management, as well as the short- and long-term consequences to the patient are unique to this patent population. Additionally, there are specific concerns such as "tip of the J" leaks, transanal management of anastomotic leak/presacral sinus, functional outcomes after leak, and considerations of redo pouch procedures.

摘要

在治疗保留肛门的直肠结肠切除术和回肠贮袋肛管吻合术后的吻合口漏时,有一些特殊的注意事项。该特定患者群体在流行病学、危险因素、解剖学因素、诊断与治疗,以及对患者的短期和长期影响等方面都具有独特性。此外,还有一些特定问题,如“J形贮袋顶端”漏、经肛门处理吻合口漏/骶前窦、漏后功能结局,以及再次进行贮袋手术的考量。