Surgical treatment of ulcerative colitis: Ileorectal vs ileal pouch-anal anastomosis

被引：44
作者：
Scoglio, Daniele [1 ]
Ali, Usama Ahmed [2 ]
Fichera, Alessandro [1 ]
机构：
[1] Univ Washington, Med Ctr, Dept Surg, Seattle, WA 98195 USA
[2] Univ Med Ctr Utrecht, Dept Surg, NL-3508 CX Utrecht, Netherlands
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2014年 / 20卷 / 37期
关键词：
Ulcerative colitis; Ileorectal anastomosis; Ileal pouch-anal anastomosis; Retained rectum; Neoplastic degeneration; STAPLED RESTORATIVE PROCTOCOLECTOMY; INFLAMMATORY-BOWEL-DISEASE; PORTAL-VEIN THROMBI; TRANSITIONAL ZONE; RISK; METAANALYSIS; DYSPLASIA; COLECTOMY; CANCER; COMPLICATIONS;
D O I：
10.3748/wjg.v20.i37.13211
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Total proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the current gold standard in the surgical treatment of ulcerative colitis (UC) refractory to medical management. A procedure of significant magnitude carries its own risks including anastomotic failure, pelvic sepsis and a low rate of neoplastic degeneration overtime. Recent studies have shown that total colectomy with ileorectal anastomosis (IRA) has been associated with good long-term functional results in a selected group of UC patients amenable to undergo a strict surveillance for the relatively high risk of cancer in the rectum. This manuscript will review and compare the most recent literature on IRA and IPAA as it pertains to postoperative morbidity and mortality, failure rates, functional outcomes and cancer risk. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
引用
收藏
页码：13211 / 13218
页数：8
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