Heimann T, Gelernt I, Bauer J, Salky B, Bleicher M, Beck A R, Kreel I
Am J Surg. 1983 May;145(5):674-7. doi: 10.1016/0002-9610(83)90119-8.
Mucosal proctectomy with endorectal pull-through allows the removal of all colonic mucosa with preservation of continence. This operation was performed in 19 patients with familial polyposis coli and ulcerative colitis. A temporary loop ileostomy was used to defunctionalize the anastomosis. Intestinal continuity was restored in 17 of the 19 patients. Mean duration of follow-up was 29 months. All patients are continent, and the mean number of bowel movements per 24 hours is 6. Follow-up barium studies revealed a gradual dilatation of the terminal ileum within the rectal cuff which accounts for the decrease in the number of bowel movements. This operation eliminates the risk of carcinoma without compromising sphincter function.
经直肠拖出式黏膜直肠切除术可切除所有结肠黏膜并保留控便能力。该手术应用于19例家族性结肠息肉病和溃疡性结肠炎患者。采用暂时性回肠袢式造口术使吻合口失功能。19例患者中有17例恢复了肠道连续性。平均随访时间为29个月。所有患者均能控制排便，每24小时平均排便次数为6次。随访钡剂造影显示直肠套内终末回肠逐渐扩张，这解释了排便次数减少的原因。该手术消除了癌变风险，且不影响括约肌功能。
