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回肠J型储袋癌变的诊断与手术治疗策略 被引量：2

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摘要 结直肠切除加回肠“J”型储袋肛管吻合术（ileal pouchanal anastomosis，IPAA）是目前溃疡性结肠炎（ulcerative colitis，UC）手术治疗的金标准。回肠储袋取代直肠成为蓄便器官后。其黏膜层的组织也逐渐发生适应性变化，演变成类似结肠黏膜的构造,使之能更有效地吸收粪便中的水分，增强储袋的蓄便功能。由于结直肠癌的发病率大大高于回肠癌，因此适应性变化后．类似结肠黏膜的储袋黏膜，在理论上可能会导致回肠“J”型储袋的癌变率升高。
作者 许宝琨 张卫 余光荣
机构地区 新加坡中央医院结直肠外科 上海第二军医大学长海医院肛肠外科
出处 《中华胃肠外科杂志》 CAS 2008年第5期507-508,共2页 Chinese Journal of Gastrointestinal Surgery
关键词 回肠储袋 手术治疗 癌变率 结直肠切除 适应性变化 诊断 溃疡性结肠炎 结肠黏膜
分类号 R735.3 [医药卫生—肿瘤]
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参考文献21

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同被引文献27

  • 1林谋斌,尹路,陈桂明,赵任,钱倩健.吻合器法改进回肠储袋肛管吻合术22例[J].中华胃肠外科杂志,2006,9(6):542-543. 被引量：7
  • 2田超,李立.溃疡性结肠炎的外科治疗[J].中国普外基础与临床杂志,2007,14(1):110-113. 被引量：13
  • 3Baumgart DC, Bernstein CN, Abbas Z, et al. IBD around the world: comparing the epidemiology, diagnosis, and treatment: proceedings of the World Digestive Health Day 2010-Inflammatory Bowel Disease Task Force meeting [J]. lnflamm Bowel Dis, 2011, 17(2): 639-644.
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  • 5Jota G, Karadzov Z, Panovski M, et al. Functional outcome and quality of life after restorative proctocolectomy and ileal pouch- anal anastomosis [J]. Prilozi, 2011,32(2): 221-230.
  • 6Cima RR. Timing and indications for colectomy in chronic ulcerative colitis: surgical consideration [J]. Dig Dis, 2010, 28(3): 501-507.
  • 7Uchino M, Ikeuchi H, Matsuoka H, et al. Risk factors associated with surgical site infection after ileal pouch-anal anastomosis in ulcerative colitis [J]. Dis Colon Rectum, 2010, 53(2): 143-149.
  • 8Kirat HT, Kiran RP, Remzi FH, et al. Diagnosis and management of afferent limb syndrome in patients with ileal pouch-anal anastomosis [J]. Inflamm Bowel Dis, 2011, 17(6): 1287-1290.
  • 9Kirat HT, Kiran RP, Oncel M, et al. Management of leak from the tip of the "J" in ileal pouch-anal anastomosis [J]. Dis Colon Rectum, 2011,54(4): 454-459.
  • 10Heikens JT, de Vries J, van Laarhoven CJ. Quality of life, health related quality of life and health status in patients having restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a systematic review [J]. Colorectal Dis, 2010, 22. doi: 10.1111/j. 1463-1318.2010. 02538. x.

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中华胃肠外科杂志
2008年 第5期

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