Beart R W, Dozois R R, Kelly K A
Surg Gynecol Obstet. 1982 Jun;154(6):826-8.
Of 50 adults with chronic ulcerative colitis, familial polyposis or Crohn's disease undergoing colectomy, excision of the rectal mucosa, endorectal ileoanal anastomosis and protective proximal ileostomy, 42 subsequently had restoration of fecal continuity. Observation for six to 36 months revealed that anastomotic strictures or fecal urgency and frequency developed in 13 of the 42 patients. Most of these patients had undergone operation early in the series. All 13 patients required abandonment of the neorectum. Thirty of 39 evaluable patients were continent, averaged eight bowel movements per day and could distinguish between gas and stool. Thirty patients preferred life with an ileoanal anastomosis to that with an ileostomy. We concluded that ileoanal anastomosis is a viable alternative for some adults requiring proctocolectomy.
在50例接受结肠切除术、直肠黏膜切除、直肠内回肠肛管吻合术及保护性近端回肠造口术的成年慢性溃疡性结肠炎、家族性息肉病或克罗恩病患者中，42例随后恢复了粪便连续性。6至36个月的观察发现，42例患者中有13例出现吻合口狭窄或排便急迫及次数增多。这些患者大多数在该系列手术早期接受了手术。所有13例患者均需放弃新直肠。39例可评估患者中有30例大便能自控，平均每天排便8次，且能区分气体和粪便。30例患者更喜欢回肠肛管吻合术的生活方式而非回肠造口术的生活方式。我们得出结论，回肠肛管吻合术对于一些需要行直肠结肠切除术的成年人来说是一种可行的替代方法。
