Demarche M, Lombard R, Jehaes C, Legrand M, Werts J, Jacquet N
Chirurgie abdominale C.H.U. Sart Tilman, Liège.
Acta Gastroenterol Belg. 1994 Sep-Dec;57(5-6):323-32.
The authors report long term results of 53 ileo-anal anastomosis for ulcerative colitis. They used a "J" pouch technique with anastomosis to the anal canal after mucosectomy of the lower rectum. An upstream ileostomy should be created and left in place for two to three months. Early morbidity primarily involves pelvic or parietal infectious problems, while late complications comprise pelvic fistulae, obstructive events, and episodes of pouch inflammation. Functional results improve over the first year and remain stable thereafter. The major long term problem remains that of pouch inflammation its treatment, and the understanding of its pathophysiology.
作者报告了53例溃疡性结肠炎回肠肛管吻合术的长期结果。他们采用“J”形贮袋技术，在低位直肠黏膜切除术后与肛管进行吻合。应做一个上游回肠造口并保留两到三个月。早期发病主要涉及盆腔或腹膜感染问题，而晚期并发症包括盆腔瘘、梗阻性事件和贮袋炎症发作。功能结果在第一年有所改善，此后保持稳定。主要的长期问题仍然是贮袋炎症及其治疗，以及对其病理生理学的理解。
