Ferrari B T, Ray J E, Robertson H D, Bonau R A, Gathright J B
Dis Colon Rectum. 1980 Oct;23(7):473-7. doi: 10.1007/BF02987080.
Upper gastrointestinal manifestations of collagen vascular diseases have been well described. Recently our attention has been focused on the colonic complications: fibrosis and stricture resulting in obstruction, severe obstipation and recurrent fecal impactions secondary to pseudo-obstruction, progressive colonic dilatation resulting in gangrene of the colon, and sigmoid volvulus and diverticulitis in the presence of both wide- and narrow-mouth pseudodiverticula. Patients with these colonic manifestations of collagen vascular disease are disabled, if not severely ill. Recognition of the problem enables the surgeon to plan definitive surgical intervention ranging from segmental resection to total colectomy and ileoproctostomy to restore satisfactory large bowel function.
胶原血管病的上消化道表现已有详尽描述。近来，我们的注意力集中在结肠并发症上：纤维化和狭窄导致梗阻、继发于假性肠梗阻的严重便秘和反复粪块嵌塞、导致结肠坏疽的进行性结肠扩张，以及在宽口和窄口假性憩室并存情况下的乙状结肠扭转和憩室炎。患有这些胶原血管病结肠表现的患者即使病情不严重，也会行动不便。认识到这个问题能让外科医生规划确定性的手术干预，范围从节段性切除到全结肠切除及回肠直肠吻合术，以恢复令人满意的大肠功能。
