Chevalier J M, Jones D J, Ratelle R, Frileux P, Tiret E, Parc R
Service de Chirurgie Digestive, Hôpital St Antoine, Paris, France.
Br J Surg. 1994 Sep;81(9):1379-81. doi: 10.1002/bjs.1800810945.
Eighty-three patients underwent colectomy and ileorectal anastomosis for Crohn's disease of the large bowel. There were two postoperative deaths and seven anastomotic leaks. Fifty-two patients retained a functioning anastomosis with a mean follow-up of 8 years. Forty had an excellent or good functional result. The cumulative proportion of patients with a functioning ileorectal anastomosis was 77 and 63 per cent at 5 and 10 years respectively. Patients presenting with perforating Crohn's disease had a significantly increased risk of failure of the anastomosis. Perianal Crohn's disease following ileorectal anastomosis was significantly related to the need to defunction or excise the rectum.
八十三例患者因大肠克罗恩病接受了结肠切除术和回肠直肠吻合术。术后有两例死亡，七例吻合口漏。五十二例患者保留了功能良好的吻合口，平均随访8年。四十例患者功能结果为优或良。回肠直肠吻合口功能良好的患者在5年和10年时的累积比例分别为77%和63%。出现穿孔性克罗恩病的患者吻合口失败风险显著增加。回肠直肠吻合术后的肛周克罗恩病与直肠改道或切除的必要性显著相关。
