Metcalf A M, Dozois R R, Beart R W, Kelly K A, Wolff B G
Dis Colon Rectum. 1986 May;29(5):300-3. doi: 10.1007/BF02554114.
The function and complications associated with temporary ileostomies were reviewed in patients undergoing ileal pouch-anal anastomosis. A series of 180 patients had temporary ileostomies established (157 loop, 23 Brooke). Patients with incomplete fecal diversion had a significantly higher incidence of pouch-anal anastomotic complications (44 percent) than did those with complete diversion (14 percent). Patients with loop ileostomies were more likely than patients with Brooke ileostomies to develop technique-related complications (18 percent vs. 13 percent) and peristomal irritation (54 percent vs. 26 percent). The most frequent complications after take-down of the ileostomy were transient bowel obstruction (13 percent) and peritonitis (7 percent). These complications could not be related to the type of stoma used or the interval to closure. Temporary diversion of a pouch-anal anastomosis decreased the incidence of anastomotic complications. These ileostomies, however, are associated with a significant risk of complications, which can be minimized by meticulous surgical technique.
对接受回肠储袋肛管吻合术患者的临时回肠造口术相关功能及并发症进行了回顾。180例患者行临时回肠造口术（157例为袢式，23例为布鲁克式）。粪便转流不完全的患者，储袋肛管吻合口并发症发生率（44%）显著高于粪便转流完全的患者（14%）。袢式回肠造口术患者比布鲁克式回肠造口术患者更易发生技术相关并发症（18%对13%）及造口周围刺激（54%对26%）。回肠造口还纳术后最常见的并发症是短暂性肠梗阻（13%）和腹膜炎（7%）。这些并发症与所使用的造口类型或关闭间隔无关。临时转流储袋肛管吻合术可降低吻合口并发症的发生率。然而，这些回肠造口术有显著的并发症风险，通过细致的手术技巧可将其降至最低。
