Kanshin N N, Kanshina O A
Vestn Khir Im I I Grek. 1980 Dec;125(12):97-101.
The experience of treatment of 285 children with nonspecific ulcerative colitis enabled the authors to conclude that the surgical treatment should be more widely recommended in children with severe and even mild nonspecific ulcerative colitis when the conservative treatment proved to be ineffective. They believe that such operations should be fulfilled in two steps: the first step consists in a complete removal of the colon and anastomosing of the separated part of the ileum to the rectum stump. The second step should liquidate the ileostoma and repair the continuity of the intestine.
对285例非特异性溃疡性结肠炎患儿的治疗经验使作者得出结论,当保守治疗无效时,对于重度甚至轻度非特异性溃疡性结肠炎患儿,应更广泛地推荐手术治疗。他们认为此类手术应分两步进行:第一步是完全切除结肠,并将分离出的回肠部分与直肠残端吻合。第二步应关闭回肠造口并恢复肠道连续性。