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World Journal of Gastroenterology 2012年第27期18卷 3479-3482页

作者： Gurel Nessar James S Wu Department of Gastrointestinal Surgery Yuksek Ihtisas HospitalAnkara 06100Turkey Department of Colorectal Surgery Digestive Disease InstituteClevelandOH 44195United States

continent ileostomy can be defined as a surgical procedure that facilitates planned intermittent evacuation of a bowel reservoir through an *** was devised by Nils Kock in ***,continent ileostomy (or Kock pouch) became a viable alternative in the management of patients who had traditionally required an end *** pouch appeared to provide substantial physical and psychosocial benefits over a conventional *** procedure became popular until ileal pouch anal anastomosis (IPAA) was introduced in *** its benefits,continent ileostomy had many short term complications including intubation problems,ileus,anastomotic leaks,peritonitis and valve *** mortalities have also been reported in the *** of these problems have been eliminated with increasing experience;however,valverelated problems remain as an "Achilles' heel" of the *** modifications have been introduced to prevent this *** patients have had their pouch removed because of complications mainly related to valve *** revision rates can be high,most of the patients who retain their reservoirs are satisfied with regard to their health status and quality of ***,this procedure is still appropriate for selected patients for whom pouch surgery is not possible or for patients who have failed *** the patient and their physician must be highly motivated to accept the risk of failure and the subsequent need for revisional operations.

关键词： continent ileostomy Kock pouch Ileal res-ervoir Surgical technique

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