摘要
直肠癌保肛手术预防性回肠造口患者缺少回肠末段及结直肠的吸收功能,可能影响机体的脂质代谢,引起水和电解质代谢、酸碱平衡紊乱,严重者还会出现营养不良或高输出综合征。本文结合文献,就直肠癌保肛手术预防性回肠造口对营养和代谢的影响进行述评。
Patients undergoing prophylactic ileostomy during sphincter-preserving surgery for rectal cancer lack the absorptive functions of the terminal ileum and colorectum.This may impact lipid metabolism,disrupt water and electrolyte balance,and disturb acid-base balance.In severe cases,it can lead to malnutrition or high-output syndrome.This article reviews the effects of prophylactic ileostomy on nutrition and metabolism in sphincter-preserving surgery for rectal cancer,drawing on relevant literature.
作者
周声宁
卢树宏
Zhou Shengning;Lu Shuhong(Department of Gastrointestinal Surgery/Colorectal Cancer Diagnosis and Treatment Center,Guangdong Second Provincial General Hospital,Guangzhou 510000,Guangdong,China)
出处
《结直肠肛门外科》
2024年第5期536-539,共4页
Journal of Colorectal & Anal Surgery
关键词
直肠癌
保肛手术
回肠造口
营养
代谢
高输出综合征
rectal cancer
sphincter-preserving surgery
ileostomy
nutrition
metabolism
high-output syndrome
