Current concepts and controversies in surgery for IBD

被引：83

作者：

Larson, DW ^{[1
]}

Pemberton, JH ^{[1
]}

机构：

[1] Mayo Clin, Mayo Coll Med, Div Colon & Rectal Surg, Rochester, MN 55905 USA

来源：

GASTROENTEROLOGY | 2004年 / 126卷 / 06期

关键词：

D O I：

10.1053/j.gastro.2004.03.063

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Surgery improves the quality of life in patients with Crohn's disease (CD) and cures patients with chronic ulcerative colitis (CUC). There are several surgical controversies primarily involving techniques and long-term outcomes. Some debates are long standing; whether to perform a double-stapled ileal pouch-anal anastomosis (IPAA) or a mucosectomy and hand-sewn anastomosis, and whether to divert or not to divert in patients with CUC undergoing an IPAA. Other issues are more recent, such as the effects of age, pregnancy, pouch salvage, and laparoscopic IPAA. In patients with Crohn's disease the anastomosis technique, the management of perianal disease, and the role of laparoscopic surgery are topics of debate. This review shows the current concepts and controversies in the surgical management of patients with CUC or CD.

引用

页码：1611 / 1619

页数：9

共 119 条

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