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直肠吻合术后水溶性造影剂灌肠。

The water soluble contrast enema after rectal anastomosis.

作者信息

Shorthouse A J, Bartram C I, Eyers A A, Thomson J P

出版信息

Br J Surg. 1982 Dec;69(12):714-7. doi: 10.1002/bjs.1800691210.

DOI:10.1002/bjs.1800691210
PMID:7171972
Abstract

A retrospective study of 135 consecutive postoperative water soluble contrast enemas has been performed to establish the safety of the technique and indications for its use. Normal and abnormal appearances at various levels of rectal anastomosis have been described. Postrectal fluid collections are associated with anastomotic dehiscence and may be a cause rather than effect. One low colorectal anastomosis was disrupted during administration of the enema; the procedure was otherwise safe and free from complication. The postoperative water soluble contrast enema is presented primarily as a research tool to define the true anastomotic leak rate, but may be useful in the diagnosis of a postrectal collection and to define the extent of an established leak.

摘要

对135例连续的术后水溶性造影剂灌肠进行了回顾性研究,以确定该技术的安全性及其使用指征。描述了直肠吻合术不同层面的正常和异常表现。直肠后积液与吻合口裂开有关,可能是原因而非结果。在灌肠过程中,1例低位结直肠吻合口破裂;该操作在其他方面是安全的,没有并发症。术后水溶性造影剂灌肠主要作为一种研究工具,用于确定真正的吻合口漏率,但可能有助于诊断直肠后积液,并确定已存在漏口的范围。

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