Ben-Chaim J, Shenfeld O, Goldwasser B, Shemesh E
Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Eur Urol. 1995;27(4):315-8. doi: 10.1159/000475188.
The ileocecal region (ICR) is used extensively in reconstructive urological surgery. To evaluate whether resection of the ICR may cause protracted diarrhea, 50 patients undergoing ileocecal resection were studied. Fifty patients undergoing left colectomy for cancer were used as controls. No significant change in bowel habits was noted in the control group. Among patients undergoing ICR resection 42% had transient loosening of stools 2 weeks after surgery which improved within 3 months. Twelve months after surgery only 6 patients with solid stools preoperatively had loose stools, and none suffered diarrhea. In conclusion, in the patients studied after resection of the ICR diarrhea gradually resolved. More work is necessary to study other potential metabolic consequences of such resection.
回盲部（ICR）在重建泌尿外科手术中广泛应用。为评估切除ICR是否会导致长期腹泻，对50例行回盲部切除术的患者进行了研究。选取50例因癌症行左半结肠切除术的患者作为对照。对照组患者的排便习惯无明显变化。在接受ICR切除术的患者中，42%在术后2周出现短暂的大便变稀，3个月内有所改善。术后12个月，术前大便正常的患者中只有6例出现大便变稀，且无患者发生腹泻。总之，在本研究的患者中，ICR切除术后腹泻逐渐缓解。有必要开展更多研究以探讨此类切除的其他潜在代谢后果。
