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首页> 外文期刊>Sao Paulo Medical Journal >Treatment of severe actinic rectitis
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Treatment of severe actinic rectitis

机译：重度光化性直肠炎的治疗

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BACKGROUND: The authors report the treatment of three female patients with severe actinic rectitis, with stenosis or perforation, submitted to anterior proctosigmoidectomy and transanal coloanal anastomosis. METHODS: In all cases surgery consisted of total proctosigmoidectomy, mucosectomy of the anal canal, lowering of the left colon through the pelvis and transanal anastomosis performed manually at the level of the pectineal line using separate absorbable sutures. A protective intestinal shunt was performed in all cases. RESULTS: The three patients did not present transoperative or immediate postoperative complications, but the first patient developed deep venous thrombosis of the leg that was submitted to successful clinical treatment. The intestinal shunts were later closed in all three cases. Sphincter function was considered very good in the first case and regular in the remaining two. CONCLUSION: The surgical technique utilized was considered to be adequate for the cases reported and is the first option for the maintenance of transit in patients with severe actinic rectitis since the anastomosis is performed using non-irradiated colon with the pectineal line, practically outside the pelvis.
机译：背景：作者报告了三例严重的光化性直肠炎，狭窄或穿孔，前路乙状结肠切除术和经肛门结肠吻合术的女性患者的治疗。方法：在所有情况下，手术均包括全结肠乙状结肠切除术，肛管粘膜切除术，通过骨盆降低左结肠结肠和经单独的可吸收缝线在果胶线水平进行经肛门吻合术。在所有情况下均进行保护性肠分流。结果：这三例患者均未出现手术或术后并发症，但第一例患者出现了腿部深静脉血栓，并已接受成功的临床治疗。后来在所有三种情况下均关闭了肠胃分流器。在第一种情况下，括约肌功能被认为非常好，而在其余两种情况下，其括约肌功能正常。结论：所使用的外科手术技术被认为适合所报道的病例，并且是重度光化性直肠炎患者维持转运的首选方法，因为吻合术是通过未照射的结肠镜面线进行的，实际上是在骨盆外进行的。 。

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