可控性回肠造口术后腹泻
Diarrhoea after continent ileostomy.
作者信息
Kelley D G, Branon M E, Phillips S F, Kelly K A
出版信息
Gut. 1980 Aug;21(8):711-6. doi: 10.1136/gut.21.8.711.
Abstract
To determine the nature and frequency of malabsorption in patients with continent ileostomies, faeces and urine from 42 patients with ileal pouches and from 19 patients with conventional ileostomies were analysed and compared. The patients with conventional ileostomy were matched with patients with ileal pouches. Thirteen of the patients with pouches were found to have excessive faecal volumes which were accompanied by increased faecal losses of electrolytes, nitrogen, and fat, and by decreased vitamin B12 uptake. The remaining patients with continent ileostomies had faecal and urinary outputs which were similar to those of patients with conventional ileostomies. Thus, evidence of malabsorption was found in approximately 30% of this group of patients with continent ileostomies.
摘要
为了确定可控性回肠造口术患者吸收不良的性质和发生率，对42例回肠贮袋患者和19例传统回肠造口术患者的粪便和尿液进行了分析和比较。传统回肠造口术患者与回肠贮袋患者进行了匹配。发现13例贮袋患者粪便量过多，同时伴有电解质、氮和脂肪的粪便丢失增加，以及维生素B12吸收减少。其余可控性回肠造口术患者的粪便和尿量与传统回肠造口术患者相似。因此，在这组可控性回肠造口术患者中，约30%存在吸收不良的证据。
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本文引用的文献
1
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Arch Surg. 1969 Aug;99(2):223-31. doi: 10.1001/archsurg.1969.01340140095014.
2
Abortion studies in patients with "intraabdominal ileostomy reservoirs" and in patients with conventional ileostomies.对“腹腔内回肠造口储袋”患者和传统回肠造口术患者的流产研究。
Gut. 1971 Jun;12(6):437-41. doi: 10.1136/gut.12.6.437.
3
Ileostomy with ileal reservoir rather than ileostomy alone.带回肠储袋的回肠造口术而非单纯回肠造口术。
Ann Surg. 1974 May;179(5):634-8. doi: 10.1097/00000658-197405000-00016.
4
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Prog Surg. 1973;12:180-201. doi: 10.1159/000394906.
5
Cause and management of high volume output salt-depleting ileostomy.大量输出性回肠造口术的病因及处理
Br J Surg. 1975 Sep;62(9):720-6. doi: 10.1002/bjs.1800620912.
6
Vitamin B12 absorption in patients with continent ileostomy.
Scand J Gastroenterol. 1975;10(2):141-4.
7
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Gastroenterology. 1977 Jun;72(6):1287-91.
8
The continent reservoir ileostomy: review of a collective series of thirty-six patients from three surgical departments.
Surgery. 1978 Mar;83(3):252-8.
9
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Gut. 1977 Oct;18(10):795-9. doi: 10.1136/gut.18.10.795.
10
Absorption studies in patients six to 10 years after construction of ileostomy reservoirs.回肠造口储袋构建术后6至10年患者的吸收研究。
Gut. 1979 Jun;20(6):499-503. doi: 10.1136/gut.20.6.499.
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