REDO POUCHES - SALVAGING OF FAILED ILEAL POUCH-ANAL ANASTOMOSES

被引：43

作者：

POGGIOLI, G ^{[1
]}

MARCHETTI, F ^{[1
]}

SELLERI, S ^{[1
]}

LAURETI, S ^{[1
]}

STOCCHI, L ^{[1
]}

GOZZETTI, G ^{[1
]}

机构：

[1] UNIV BOLOGNA,CHIRURG CLIN 2,I-40126 BOLOGNA,ITALY

来源：

DISEASES OF THE COLON & RECTUM | 1993年 / 36卷 / 05期

关键词：

ILEAL POUCHANAL ANASTOMOSIS; PELVIC SEPSIS; REDO POUCH;

D O I：

10.1007/BF02050016

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

From October 1, 1984 to December 31, 1991 at the Clinica Chirurgica II of the University of Bologna, 140 patients submitted to ileal pouch-anal anastomosis for ulcerative colitis (UC) and familial adenomatous polyposis (FAP). Nineteen patients (13.5 percent) developed septic complications. Of these, 11 patients (7.8 percent) had pelvic sepsis. Eight patients required further surgical intervention. Five patients underwent the redo pouch procedure. Another redo pouch was performed in a patient who had previously, in another hospital, had an ileal pouch-anal anastomosis placed and then removed because of ischemic necrosis of the reservoir. No deaths are reported in the reoperated patients. Currently, five of the six patients who underwent the redo pouch procedure have a well-functioning ileoanal anastomosis. The redo pouch procedure should always be attempted prior to the establishment of pelvic fibrosis.

引用

页码：492 / 496

页数：5

共 5 条

[1]

DOZOIS RR, 1988, PERSPECT COLON RECTA, V1, P113

[2] ILEAL POUCH ANAL ANASTOMOSIS - REOPERATION FOR POUCH-RELATED COMPLICATIONS [J].