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首页> 外文期刊>World Journal of Gastroenterology >Heal pouch surgery for ulcerative colitis
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Heal pouch surgery for ulcerative colitis

机译:溃疡性结肠炎的医疗袋手术

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摘要

Ulcerative colitis (UC) is a relapsing and remitting disease characterised by chronic mucosal and submucosal inflammation of the colon and rectum. Treatment may vary depending upon the extent and severity of inflammation. Broadly speaking medical treatments aim to induce and then maintain remission. Surgery is indicated for inflammatory disease that is refractory to medical treatment or in cases of neoplastic transformation. Approximately 25% of patients with UC ultimately require colectomy. Ileal pouch-anal anastomosis (IPAA) has become the standard of care for patients with ulcerative colitis who ultimately require colectomy. This review will examine indications for IPAA, patient selection, technical aspects of surgery, management of complications and long term outcome following this procedure.
机译:溃疡性结肠炎(UC)是一种复发和缓解疾病,其特征在于结肠和直肠的慢性粘膜和粘膜下炎症。根据炎症的程度和严重程度,治疗可能会有所不同。从广义上讲,药物治疗旨在诱导并保持缓解。手术适用于药物治疗或肿瘤转化难治的炎症性疾病。大约25%的UC患者最终需要进行结肠切除术。回肠袋肛门吻合术(IPAA)已成为最终需要结肠切除术的溃疡性结肠炎患者的治疗标准。这篇综述将检查IPAA的适应症,患者的选择,手术的技术方面,并发症的管理以及该程序后的长期结果。

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