Colonic J-pouch rectal reconstruction—Is it really a neorectum?
Colonic J-pouch rectal reconstruction—Is it really a neorectum?
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结肠J袋直肠重建——这真的是新直肠吗？
DOI：
10.1007/bf02055124
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发表时间：
1996
影响因子：
3.9
通讯作者：
M. Humphreys
中科院分区：
文献类型：
--
作者：
J. M. Ramírez;N. Mortensen;N. Takeuchi;M. Humphreys
目得：本研究的目的是确定结肠J型袋是否具有与正常直肠相似的特性，包括直肠肛门协调的恢复。方法：对10名结肠J袋-肛门吻合术患者（低位直肠癌的吻合口距离肛门边缘3-5（范围，2.0-4.5）cm）（7名男性;平均年龄，64.7（范围，44-76）岁）进行了临床研究，并在术后至少一年在肛门直肠生理实验室进行了研究。结果与一系列的10个匹配的患者进行了高位前切除术的上部直肠癌（吻合口高度，12.7（范围，9.5-16）厘米）。研究结果：虽然保留直肠组的结果似乎稍好，但在功能结局或肛门直肠生理学方面没有发现统计学差异。一半的结肠J-袋（新直肠）的患者有一个积极的直肠肛门抑制反射。结论：增加结肠袋新直肠似乎可以将功能改善到高位吻合和“正常”直肠患者的水平。
PURPOSE: The aim of this study was to determine whether a colonic J-pouch has similar properties to that of a normal rectum, including recovery of rectoanal coordination. METHODS: Ten patients with colonic J-pouch-anal anastomosis (anastomotic distance from anal verge, 3–5 (range, 2.0–4.5) cm for low rectal cancer (7 men; mean age, 64.7 (range, 44–76) years) were studied clinically and in the anorectal physiology laboratory at least one year after operation. Results were compared with a series of ten matched patients who underwent high anterior resection for upper rectal carcinoma (anastomotic height, 12.7 (range, 9.5–16) cm). RESULTS: Although results seemed to be slightly better in the group with the rectum preserved, no statistical differences could be found either in functional outcome or anorectal physiology. One-half of the patients with colonic J-pouch (neorectum) had a positive rectoanal inhibitory reflex. CONCLUSION: Addition of a colon pouch neorectum would appear to improve function to the level of those patients with a high anastomosis and “normal” rectum.