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.
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。
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