Maeda K, Hashimoto M, Koh J, Yamamoto O, Hosoda Y, Morikawa Y
Department of Surgery, Social Insurance Saitama Chuo Hospital, Japan.
Surg Today. 1995;25(7):657-61. doi: 10.1007/BF00311445.
A new method for allowing stool passage into the pelvic pouch before ileostomy closure to verify the defecation state and diminish stool frequency is reported herein. This was accomplished by fitting an ileostomy connector connecting the proximal and distal openings of the diverting loop stoma. The ileostomy connector was initially in place for 6 h a day, the length of time being gradually increased until it was able to be left in for 24 h a day over a 3-month period. The calculated daily frequency of stools decreased from 24 to 6 or 7 times, and the mean daily frequency immediately after ileostomy closure was 6.5 times. Physiological study also showed an improvement, with squeeze pressure increasing from 35 cmH2O to 116 cmH2O and the maximum tolerated volume increasing from 35 ml before, to 90 ml 3 months following the use of an ileostomy connector. Thus, we conclude that an ileostomy connector may be useful to predict postoperative functional outcome and its complications, and to diminish the frequency of defecation before ileostomy closure in patients with a covering loop stoma.
本文报道了一种在回肠造口关闭前使粪便进入盆腔袋以验证排便状态并减少排便次数的新方法。这是通过安装一个连接转向袢造口近端和远端开口的回肠造口连接器来实现的。回肠造口连接器最初每天放置6小时，放置时间逐渐增加，直到在3个月的时间内能够每天放置24小时。计算得出的每日排便次数从24次减少到6或7次，回肠造口关闭后立即的平均每日排便次数为6.5次。生理学研究也显示有改善，挤压压力从35 cmH₂O增加到116 cmH₂O，最大耐受容量从使用回肠造口连接器前的35 ml增加到3个月后的90 ml。因此，我们得出结论，回肠造口连接器可能有助于预测术后功能结果及其并发症，并减少有覆盖袢造口患者在回肠造口关闭前的排便次数。
