Hennild V, Kjaergård H, Kuld Hansen L
Acta Radiol Diagn (Stockh). 1986 May-Jun;27(3):301-4. doi: 10.1177/028418518602700309.
A radiologic investigation was performed in 26 patients subjected to colectomy, mucosal proctectomy and endorectal ileo-anal anastomosis after the creation of an ileal reservoir. The patients had suffered from ulcerative colitis or familial polyposis. The reservoir and its efferent leg was best demonstrated by contrast enema. The size and position of the reservoir and the efferent leg was demonstrated, and stenoses, abscesses and fistulae could be identified. Examination of the small bowel with a contrast medium showed slight dilatation of the ileum orally to the reservoir in all instances and one patient had a stenosis at the junction of the afferent leg of the reservoir. Erect and supine projections of the abdomen showed gas in the intestine and fluid levels in the reservoir. These radiographic findings should not be confused with ileus or pelvic abscess. Radiology was of great value in disclosing postoperative complications.
对26例行结肠切除术、黏膜直肠切除术及回肠贮袋肛管吻合术（在构建回肠贮袋后）的患者进行了放射学检查。这些患者患有溃疡性结肠炎或家族性息肉病。通过灌肠造影能最佳地显示贮袋及其输出肠段。可显示贮袋及其输出肠段的大小和位置，还能识别狭窄、脓肿和瘘管。用造影剂检查小肠发现，在所有病例中，贮袋上方的回肠均有轻度扩张，1例患者在贮袋输入肠段连接处存在狭窄。腹部的立位和仰卧位投照显示肠道内有气体，贮袋内有液平面。这些放射学表现不应与肠梗阻或盆腔脓肿相混淆。放射学检查在发现术后并发症方面具有重要价值。
