Pescatori M, Parks A G
Dis Colon Rectum. 1984 May;27(5):316-8. doi: 10.1007/BF02555642.
Posterior transmucosal myotomy of the small bowel distal to the pelvic pouch was carried out in two patients who underwent restorative proctocolectomy for ulcerative colitis. Painful spasms of the efferent limb and outlet obstruction of the reservoir were the main indications for surgery. Laparotomy was unnecessary, as the operation could be performed either through a transanal route or by means of a rigid sigmoidoscope. Both patients showed marked clinical improvement after myotomy; therefore, it may be considered an effective and safe procedure in the treatment of functional and mechanical disorders of the small intestine above an ileoanal anastomosis.
对两名因溃疡性结肠炎接受结直肠切除术后行回肠储袋肛管吻合术的患者，在盆腔储袋远端的小肠进行了经黏膜后肌切开术。传出袢的疼痛性痉挛和储袋出口梗阻是手术的主要指征。由于该手术可通过经肛门途径或使用硬式乙状结肠镜进行，因此无需开腹。两名患者在肌切开术后均有明显的临床改善；因此，在治疗回肠肛管吻合术上方小肠的功能性和机械性疾病时，该手术可被认为是一种有效且安全的方法。
