Relationship of backwash ileitis to ileal pouchitis after ileal pouch-anal anastomosis
Relationship of backwash ileitis to ileal pouchitis after ileal pouch-anal anastomosis
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回肠贮袋肛管吻合术后反冲洗性回肠炎与回肠贮袋炎的关系
DOI：
10.1007/bf02556916
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发表时间：
1987
影响因子：
3.9
通讯作者：
K. Kelly
中科院分区：
文献类型：
--
作者：
S. Gustavsson;L. Weiland;K. Kelly
为了评估反冲洗回肠炎的存在是否会导致回肠贮袋-肛门吻合术后回肠贮袋炎的发生，对 131 名接受手术的患者进行了研究。 15 名患者在手术时发现回肠末端有非特异性炎症，而 20 名患者随后出现了储袋炎。没有发现这两个条件之间存在相关性。 15 名患有反冲洗性回肠炎的患者中，有 2 名（13%）发生了储袋炎；116 名不患有回肠炎的患者中，有 18 名（16%）发生了储袋炎（P>0.05）。其中20例患者（16%）无回肠炎（P>0.05）。在 20 名患有储袋炎的患者中，只有两人（10%）既往患有反冲洗性回肠炎。结论是，反冲洗回肠炎的存在不会导致后来发生储袋炎，因此并不禁忌使用发炎的回肠末端来构建回肠储袋和吻合术。
To assess whether the presence of backwash ileitis predisposed to the subsequent development of ileal pouchitis after ileal pouch-anal anastomosis, 131 patients who had the operation were studied. Fifteen patients had nonspecific inflammation in the terminal ileum noted at the time of the operation, while 20 patients subsequently developed pouchitis. No correlation between the two conditions was found. Pouchitis developed in two of 15 patients (13 percent) with backwash ileitis and in 18 of 116 patients (16 percent) without the ileitis (P>0.05). Among the 20 patients (16 percent) without the ileitis (P>0.05). Among the 20 patients with pouchitis only two (10 percent) had had previous backwash ileitis. It is concluded that the presence of backwash ileitis does not predispose to later development of pouchitis, and so does not contraindicate use of the inflammed terminal ileum for construction of the ileal pouch and anastomosis.