Anal transition zone in the surgical management of ulcerative colitis

被引：19
作者：
Holder-Murray, Jennifer [1 ]
Fichera, Alessandro [1 ]
机构：
[1] Univ Chicago, Dept Surg, Chicago, IL 60637 USA
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2009年 / 15卷 / 07期
关键词：
Anal transition zone; Ileal pouch anal anastomosis; Restorative proctocolectomy; Ulcerative colitis; STAPLED ILEAL POUCH; RESTORATIVE PROCTOCOLECTOMY; ILEOANAL ANASTOMOSIS; INCONTINENT PATIENTS; MUCOSAL PROCTECTOMY; DEFECATORY FUNCTION; RECTAL MUCOSA; RISK-FACTORS; HAND-SEWN; SENSATION;
D O I：
10.3748/wjg.15.769
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Preservation of the anal transition zone has long been a significant source of controversy in the surgical management of ulcerative colitis. The two techniques for restorative proctocolectomy and ileal pouch anal anastomosis (RPC IPAA) in common practice are a stapled anastomosis and a handsewn anastomosis; these techniques differ in the amount of remaining rectal mucosa and therefore the presence of the anal transition zone following surgery. Each technique has advantages and disadvantages in long-term functional outcomes, operative and postoperative complications, and risk of neoplasia. Therefore, we propose a selective approach to performing a stapled RPC IPAA based on the presence of dysplasia in the preoperative endoscopic evaluation. (C) 2009 The WJG Press and Baishideng. All rights reserved
引用
收藏
页码：769 / 773
页数：5
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