Ileal pouch after restorative coloproctectomy

被引：1
|
作者：
Flemming, S. [1 ]
Kelm, M. [1 ]
Germer, C-T [1 ]
Wiegering, A. [1 ]
机构：
[1] Univ Klinikum Wurzburg, Klin Allgemein Viszeral Transplantat Gefass & Kin, Zentrum Operat Med ZOM, Oberdurrbacher Str 6, D-97080 Wurzburg, Germany
来源：
CHIRURGIE | 2022年 / 93卷 / 11期
关键词：
J-pouch; Ulcerative colitis; Crohn's disease; Familial adenomatous polyposis; Mucosectomy; ULCERATIVE-COLITIS; ANAL ANASTOMOSIS; INDETERMINATE COLITIS; CROHNS-DISEASE; POSTOPERATIVE COMPLICATIONS; TOTAL COLECTOMY; SHORT-TERM; INFLIXIMAB; MORTALITY; CANCER;
D O I：
10.1007/s00104-022-01708-6
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The continuous development of pouch surgery has enabled continence-preserving treatment after coloproctectomy. The ileoanal J-pouch is nowadays the standard reconstruction after restorative coloproctectomy with excellent functional long-term results. Taking the relative contraindications and a suitable patient selection into consideration, pouch placement can be indicated not only for ulcerative colitis and familial adenomatous polyposis, but also for patients with nonfistular Crohn's disease. Due to a high treatment density with immunosuppressants, the surgical treatment regimen should be subdivided into a multistage procedure, whereby according to current data a modified two-stage procedure should be favored.
引用
收藏
页码：1030 / 1036
页数：7
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