LONG-TERM RESULTS OF RESTORATIVE PROCTOCOLECTOMY FOR ULCERATIVE-COLITIS

被引：32

作者：

MIKKOLA, K ^{[1
]}

LUUKKONEN, P ^{[1
]}

JARVINEN, HJ ^{[1
]}

机构：

[1] UNIV HELSINKI,CENT HOSP,DEPT SURG 2,SF-00290 HELSINKI,FINLAND

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1995年 / 10卷 / 01期

关键词：

D O I：

10.1007/BF00337578

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

To study the long-term effects of restorative proctocolectomy with J-pouch for ulcerative colitis 100 consecutive patients were examined a mean of 5.6 years after ileal pouch-anal anastomosis (IPAA). Seventy-three percent of patients were on steroids and 22% had a preceding severe attack of colitis before IPAA. The overall early and late complication rates were 40% and 33%, respectively. Failure rate was 5% and all failures requiring pouch excision occurred within the first three postoperative years. Pouchitis (36%) was the commonest late complication. A preceding severe attack of colitis was an important prognostic sign of late anastomotic complications, troublesome incontinence and ultimate failure. The daily mean stool frequency varied from 4.5 to 6.9. After a short learning period continence - stabilised and minor incontinence was common (57%). The majority of patients (72%) were either very satisfied or had no problems in daily activities after IPAA. Ten patients were dissatisfied after surgery due to obvious medical reasons in most of them.

引用

页码：10 / 14

页数：5

共 24 条

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