Revolution and evolution: 30 years of ileoanal pouch surgery

被引:55
作者
Bach, SP
Mortensen, NJM
机构
[1] John Radcliffe Hosp, Dept Colorectal Surg, Oxford OX3 9DU, England
[2] Univ Oxford, Nuffield Dept Surg, Oxford, England
关键词
ulcerative colitis; inflammatory bowel disease; ileal pouch-anal anastomosis;
D O I
10.1097/01.MIB.0000197547.80558.59
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Ileal pouch-anal anastomosis (IPAA) has become the standard of care for the 25% of patients with ulcerative colitis who ultimately require colectomy. IPAA is favored by patients because it avoids the necessity for a long-term stoma. This review examines how 3 decades of experience with IPAA has molded current practice, highlighting 5- and 10-year follow-up of large series to determine durability and functional performance, in addition to causes of failure and the management of complications.
引用
收藏
页码:131 / 145
页数:15
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