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摘要:
Restorative proctocolectomy(RP)is the surgical treatment of choice for ulcerative colitis(UC)and patients with familial adenomatous polyposis(FAP).A devastating complication for both patient and surgeon is failure of the pouch that requires excision.There is currently no single paper in the literature that consolidates the indications for ileo-anal pouch excision and the subsequent outcomes following this procedure.A literature search was carried out to identify articles on RP and ileal pouch-anal anastomosis.The main search terms used were“RP”;“ileal pouch-anal anastomosis”or“ileal reservoir”or“ileal pouch”;“failure of ileal pouchanal anastomosis”and“excision of ileal pouch-anal anastomosis”.The search was completed using electronic databases MEDLINE,PubMed and EMBASE from 1975 to June 2014.Characteristics of patients with pouch failure differ between institutions.Reported overall excision rates of the pouches vary and in this review ranged from 0.93%to 12.8%.Age and lower institutional volume(less than 3.3 cases)were independent predictors of pouch failure;however surgeon case load was not.The main reasons identified for excision are sepsis(early cause),Crohn’s disease and poor functional outcomes(both late causes).Pouch cancers in UC and FAP are still rare but 135 cases exist in the literature.The most common complication following excision is persistent perineal sinus.The decision to excise a pouch should not be taken lightly and an awareness of the technical pitfalls and complications that can occur should be fully appreciated.
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篇名 Ileo-anal pouch excision:A review of indications and outcomes
来源期刊 世界外科手术杂志 学科 医学
关键词 INDICATIONS and OUTCOMES Ileo-anal POUCH POUCH FAILURE POUCH EXCISION
年,卷(期) 2015,(1) 所属期刊栏目
研究方向 页码范围 119-126
页数 8页 分类号 R
字数 语种
DOI
五维指标
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研究主题发展历程
节点文献
INDICATIONS
and
OUTCOMES
Ileo-anal
POUCH
POUCH
FAILURE
POUCH
EXCISION
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界外科手术杂志
不定期
2219-2832
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
61
总下载数(次)
0
总被引数(次)
0
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