Ongoing challenges and controversies in ulcerative colitis surgery

被引:6
作者
Lee-Kong, Steven [1 ]
Kiran, Ravi Pokala [1 ]
机构
[1] Columbia Univ, Med Ctr, Div Colorectal Surg, New York Presbyterian Hosp, New York, NY USA
关键词
Ulcerative colitis; surgery; ileoanal pouch; ileorectal anastomosis; sexual function; fertility; POUCH-ANAL ANASTOMOSIS; QUALITY-OF-LIFE; RESTORATIVE PROCTOCOLECTOMY; ILEORECTAL ANASTOMOSIS; SEXUAL FUNCTION; CROHNS-DISEASE; INCREASED RISK; CHILDREN; INFERTILITY; OUTCOMES;
D O I
10.1586/17474124.2016.1121811
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
For patients with ulcerative colitis requiring surgery, surgical options include a total proctocolectomy with an end ileostomy and ileal pouch-anal anastomosis or a continent reservoir, or instead, a subtotal colectomy with an ileorectal anastomosis. The ileal pouch-anal anastomosis is currently considered the gold standard procedure that is employed in the majority of patients. Despite strong data supporting the feasibility, durability and the maintenance of long term functional outcomes and quality of life, certain controversies pertaining to its relative role, method of creation and effects on related pelvic structures remain a matter of debate.
引用
收藏
页码:187 / 191
页数:5
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