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肠道内容物改道对大肠克罗恩病进展的影响。

The effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel.

作者信息

Burman J H, Thompson H, Cooke W T, Williams J A

出版信息

Gut. 1971 Jan;12(1):11-5. doi: 10.1136/gut.12.1.11.

Abstract

This study shows that faecal diversion by ileostomy or colostomy results in an improvement in the patient's general health which is substantiated by the haematological and biochemical findings. However, in the bowel distal to the diversion there is always histological evidence of mucosal and transmural disease and complications such as fistulae may still occur. In only two patients (7%) was restoration of bowel continuity successful.

摘要

本研究表明,回肠造口术或结肠造口术进行粪便转流可改善患者的总体健康状况,血液学和生化检查结果证实了这一点。然而,在转流部位远端的肠段,始终存在黏膜和透壁性疾病的组织学证据,并且仍可能发生诸如瘘管等并发症。只有两名患者(7%)成功恢复了肠道连续性。

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