Metcalf A M, Dozois R R, Kelly K A, Wolff B G
Dis Colon Rectum. 1986 Jan;29(1):33-5. doi: 10.1007/BF02555283.
Of two hundred patients undergoing proctocolectomy with ileal pouch-anal anastomosis, all but nine have had temporary diverting ileostomies. Of these nine patients, eight had successful results. One patient developed abdominal sepsis due to jejunal volvulus and perforation after she had returned home, and at surgery the pouch was excised. Ileal pouch-anal anastomosis without a temporary diverting ileostomy can be performed safely by surgeons experienced with this procedure in carefully selected patients.
在200例行回肠贮袋肛管吻合术的直肠结肠切除患者中，除9例患者外，其余均行了暂时性转流性回肠造口术。在这9例患者中，8例取得了成功。1例患者在回家后因空肠扭转和穿孔发生腹部感染，手术时切除了贮袋。对于有经验的外科医生而言，在精心挑选的患者中，可不做暂时性转流性回肠造口术而安全地施行回肠贮袋肛管吻合术。
