Freund H, Berlatzky Y
Surg Gynecol Obstet. 1978 Apr;146(4):541-4.
The present study was an attempt to create a simple reservoir with a reliable continent ileostomy, so as to overcome the many drawbacks of the regular ileostomy. The ileocolonic segment was isolated and the ileum was intussuscepted into the colon to augment the ileocolonic sphincter. Pressure recordings disclosed a high pressure zone in the ileocolonic sphincter area reacting with a significant pressure increase to colonic distention. The proximal ileal end was anastomosed to the colonic part of the ileocolonic segment, and the ileal part of the ileocolonic segment was maturated as an ileostomy. The colonic reservoir was emptied by catheterization. Between catherizations, the ileostomies remained completely continent to small intestinal contents and gas. The reservoir and continent ileostomy are easily constructed, offer convenience and safety, voluntary and controlled emptying and conservation of part of the water and sodium excessively lost with conventional ileostomies. The procedure should be applied only to those patients in whom the right colon is unaffected or only slightly affected by the inflammatory process.
本研究试图创建一个带有可靠可控回肠造口术的简单储袋，以克服常规回肠造口术的诸多缺点。分离回结肠段，将回肠套入结肠以增强回结肠括约肌。压力记录显示回结肠括约肌区域存在高压区，对结肠扩张有显著的压力升高反应。回肠近端与回结肠段的结肠部分吻合，回结肠段的回肠部分作为回肠造口术成熟。通过导管插入术排空结肠储袋。在插管之间，回肠造口术对小肠内容物和气体保持完全可控。该储袋和可控回肠造口术易于构建，提供便利和安全性、自主和可控排空，并保留部分因传统回肠造口术而过度流失的水和钠。该手术仅应应用于右结肠未受炎症过程影响或仅轻微受影响的患者。
