Hughes S F, Williams N S
Surgical Unit, Royal London Hospital, UK.
Br J Surg. 1995 Oct;82(10):1318-20. doi: 10.1002/bjs.1800821008.
A transverse colonic conduit incorporating an intussusception valve and skin-flapped cutaneous aperture was constructed in nine patients with combined faecal incontinence and disordered evacuation. Intestinal continuity was restored with a colocolonic anastomosis. Median follow-up was 4 (range 2-15) months and daily irrigation with a median of 1.2 (range 0.3-2.0) litres of water resulted in evacuation in less than 1 h. At 1 month after operation there was no leakage of solid or liquid faeces from the anus between irrigations. The valve was continent to faeces and irrigation fluid, and no stoma appliances were required.
对9例合并大便失禁和排便障碍的患者构建了包含套叠瓣和带皮瓣皮肤造口的横结肠导管。通过结肠结肠吻合术恢复肠道连续性。中位随访时间为4（范围2 - 15）个月，每天用中位1.2（范围0.3 - 2.0）升水进行灌洗，排便时间不到1小时。术后1个月，两次灌洗之间肛门无固体或液体粪便漏出。瓣膜对粪便和灌洗液具有节制功能，无需造口器具。
