炎症性肠病结肠切除术后回肠造口术的替代方案。
Alternatives to ileostomy after colectomy for inflammatory bowel disease.
作者信息
Taylor B M, Beart R W
出版信息
Annu Rev Med. 1985;36:315-27. doi: 10.1146/annurev.me.36.020185.001531.
Abstract
Proctocolectomy and Brooke ileostomy have long been the standard surgical procedure for patients with refractory ulcerative colitis or colonic Crohn's disease. Ileorectal anastomosis, ileoanal anastomosis, the continent ileostomy, and the continent ostomy valve are now being used in selected patients as options to the Brooke ileostomy. The indications for and advantages of these procedures and their potential disadvantages and contraindications are discussed in this chapter.
摘要
全结肠直肠切除术及布鲁克回肠造口术长期以来一直是难治性溃疡性结肠炎或结肠克罗恩病患者的标准外科手术。回肠直肠吻合术、回肠肛管吻合术、可控性回肠造口术及可控性造口瓣膜目前正应用于部分患者，作为布鲁克回肠造口术的替代选择。本章将讨论这些手术的适应证、优点及其潜在的缺点和禁忌证。
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