Cohen Z, Stone R M
Can J Surg. 1980 May;23(3):259-62.
A continent Kock ileostomy was constructed in 17 patients with histologically proven ulcerative colitis; in 11 a conventional ileostomy was converted to a Kock ileostomy and in 4 the Kock ileostomy was carried out in conjunction with proctocolectomy. There were no operative deaths. All patients are completely continent with regard to flatus and stool. No patient requires an external appliance and all agree that the quality of their lives has greatly improved. However, 10 patients (59%) required at least one additional surgical procedure for early or late complications, the most frequent of which were intestinal obstruction and valve slipping. In an attempt to reduce morbidity, several technical modifications were made. The preliminary results of the modified techniques used in 17 patients are described. The benefits of the continent ileostomy are substantial despite the high initial morbidity. The authors recommend the use of the continent ileostomy in selected patients.
为17例经组织学证实的溃疡性结肠炎患者实施了可控性回肠造口术；其中11例是将传统回肠造口术转换为可控性回肠造口术，4例是在直肠结肠切除术中同时进行可控性回肠造口术。无手术死亡病例。所有患者在排气和排便方面均完全可控。无需外置造口袋，所有患者均认为生活质量有了很大提高。然而，10例患者（59%）因早期或晚期并发症至少需要进行一次额外的手术，最常见的并发症是肠梗阻和瓣膜滑脱。为降低发病率，进行了多项技术改进。描述了在17例患者中使用改良技术的初步结果。尽管初期发病率较高，但可控性回肠造口术的益处显著。作者建议在特定患者中使用可控性回肠造口术。
