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

页码：1030 / 1036

页数：7

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