RESTORATIVE PROCTOCOLECTOMY AND POUCH-ANAL ANASTOMOSIS FOR ULCERATIVE-COLITIS FOLLOWING ORTHOTOPIC LIVER-TRANSPLANTATION

被引:17
作者
ROWLEY, S
CANDINAS, D
MAYER, AD
BUCKELS, JAC
MCMASTER, P
KEIGHLEY, MRB
机构
[1] QUEEN ELIZABETH HOSP,ACAD DEPT SURG,BIRMINGHAM B15 2TH,W MIDLANDS,ENGLAND
[2] QUEEN ELIZABETH HOSP,LIVER UNIT,BIRMINGHAM B15 2TH,W MIDLANDS,ENGLAND
关键词
PROCTOCOLECTOMY; POUCH ANAL ANASTOMOSIS; ULCERATIVE COLITIS; LIVER TRANSPLANTATION;
D O I
10.1136/gut.37.6.845
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This study reports on the outcome of four patients having ileal pouch anal anastomosis after orthotopic Liver transplantation for sclerosing cholangitis complicating ulcerative colitis. There were no deaths on follow up. Early postoperative bleeding was a complication of colectomy or rectal excision in three, one of whom developed hepatic artery thrombosis and the overall complication rate was high. All patients are continent but one has chronic pouchitis (while receiving longterm metronidazole) and one patient has recurrent sclerosing cholangitis in the transplant.
引用
收藏
页码:845 / 847
页数:3
相关论文
共 9 条
  • [1] Wiesner R.H., Grabsch P.M., Dickson E.R., Ludwig J., MacCarty R.L., Hunter E.B., Et al., Primary sclerosing cholangitis: Natural history, prognostic factors and survival analysis, Hepatology, 10, pp. 430-436, (1989)
  • [2] Wiesner R.H., LaRusso N.F., Dozois R.R., Beaver S.J., Peristomal varices after proctocolectomy in patients with primary sclerosing cholangitis, Gastroenterology, 90, pp. 316-322, (1986)
  • [3] Kartheuser X.H., Dozois R.R., Wiesner R.H., LaRusso N.F., Ilstrup D.M., Schleck C.D., Complications and risk factors after ileal pouch-anal anastomosis colitis associated with primary sclerosing cholangitis, Ann Surg, 217, pp. 314-320, (1993)
  • [4] Parks A.G., Nicholls R.J., Proctocolectomy without ileostomy for ulcerative colitis, BMJ, 2, pp. 85-88, (1978)
  • [5] Kohler L.W., Pemberton J.H., Hodge D.O., Zinsmeister A.R., Kelly A., Long term functional results of quality of life after ileal pouchanal anastomosis and cholecystectomy, World J Surg, 16, pp. 1126-1132, (1992)
  • [6] Leijonmarck C.-E., Liljeqvist L., Poppen B., Hellers G., Surgery after colectomy for ulcerative colitis, Dis Colon Rectum, 35, pp. 495-502, (1992)
  • [7] Keighley M.R.B., Grobler S., Bain I., An audit of restorative proctocolectomy, Gut, 34, pp. 680-684, (1993)
  • [8] Buhr H.J., Heuschen U.A., Stern J., Herfarth Ch., Kontinenzerhaltende Operation nach Proktokolektomie, Chirurg, 64, pp. 601-613, (1993)
  • [9] Braun J., Schumpelick V., Die Direkte Ileumpouchanlage Anastomose, Chirurg, 64, pp. 614-621, (1993)