Heimann T, Beck A R, Greenstein A J
Arch Surg. 1978 Sep;113(9):1104-6. doi: 10.1001/archsurg.1978.01370210086013.
Two cases of familial polyposis coli were managed by total colectomy and endorectal pull-through with excellent long-term results. The performance of a temporary loop ileostomy is advisable to prevent anastomotic complications. In addition, it avoids the excessive diarrhea and perianal excoriation that frequently occur in the early postoperative period until full continence is regained. This is the only method that allows the preservation of rectal function and prevents the occurrence of rectal cancer. It should be considered as a real alternative to either subtotal colectomy and ileorectal anastomosis or total colectomy with construction of an ileostomy.
两例家族性结肠息肉病患者接受了全结肠切除术和直肠内拖出术，长期效果良好。建议进行临时性回肠造口术以预防吻合口并发症。此外，它还能避免术后早期频繁出现的过度腹泻和肛周皮肤擦伤，直至恢复完全控便。这是唯一能保留直肠功能并预防直肠癌发生的方法。它应被视为次全结肠切除术和回肠直肠吻合术或全结肠切除术加回肠造口术的一种切实可行的替代方法。
