Reifferscheid M, Hartung R
Chirurg. 1984 Apr;55(4):232-7.
For non-malignant colon diseases the indications for preventive measures can be of tumorous and non-tumorous nature. In case of ulcerative colitis and Crohn's colitis local and systemic complications may demand a colectomy. The operative procedures in this case are proctomucosectomy with ileumpouch or ileorectostomy , if continence can be preserved. Mucosal proctectomy with ileumpouch will prevent the obligatory malignant change in familial adenomatosis. The preventive resection in diverticulitis bewares of the complication of the progressive phlegmonous infection of the colonic wall.
对于非恶性结肠疾病,预防措施的指征可能具有肿瘤性和非肿瘤性。在溃疡性结肠炎和克罗恩氏结肠炎的情况下,局部和全身并发症可能需要进行结肠切除术。如果能够保留控便功能,此时的手术操作是直肠黏膜切除术加回肠贮袋或回肠直肠吻合术。回肠贮袋直肠黏膜切除术可预防家族性腺瘤病中必然发生的恶变。憩室炎的预防性切除术可防止结肠壁进行性蜂窝织炎感染的并发症。