Z Gastroenterol 2002; 40(S2): 73-75
DOI: 10.1055/s-2002-35901
Supplement
© Karl Demeter Verlag im Georg Thieme Verlag Stuttgart · New York

Kontinenzerhaltende Chirurgie bei chronisch ­entzündlichen Darmerkrankungen

Möglichkeiten und GrenzenContinence preserving Surgery in Inflammatory Bowel DiseasePossibilities and LimitationsH. J. Buhr, A. J. Kroesen
  • 1Chirurgische Klinik I: Visceral- Gefäß- und Thoraxchirurgie; Universitätsklinikum Benjamin Franklin, FU Berlin
Further Information

Publication History

Publication Date:
04 December 2002 (online)

Die Indikationen zur Kontinenz erhaltenden Chirurgie sind bei den beiden chronisch entzündlichen Darmerkrankungen - Colitis ulcerosa und M. Crohn - vollkommen differenziert zu stellen. Ist bei der Colitis ulcerosa der Kontinenzerhalt nach Coloproctomucosektomie durch Anlage eines ileoanalen Pouch die Regel, so sind die Möglichkeiten zum Kontinenzerhalt bei Colitis Crohn und anorektalem M. Crohn äußerst limitiert.

Literatur

  • 1 Fazio V W, Ziv Y, Church J M. et al . Ileal pouch-anal anastomoses complications and function in 1005 patients.  Ann.Surg. 1995;  222 120-127
  • 2 Heuschen U A, Hinz U, Allemeyer E H. et al . Risk factors for ileoanal J pouch-related septic complications in ulcerative colitis and familial adenomatous polyposis.  Ann.Surg. 2002;  235 207-216
  • 3 Korsgen S, Keighley M R. Causes of failure and life expectancy of the ileoanal pouch.  Int.J Colorectal Dis. 1997;  12 4-8
  • 4 Sagar P M, Dozois R R, Wolff B G. Long-term results of ileal pouch-anal anastomosis in patients with Crohn’s disease.  Dis.Colon Rectum. 1996;  39 893-898
  • 5 Koltun W A, Schoetz D J, Roberts P L. et al . Indeterminate colitis predisposes to perineal complications after ileal pouch-anal anastomosis.  Dis.Colon Rectum. 1991;  34 857-860
  • 6 McIntyre P B, Pemberton J H, Wolff B G. et al . Indeterminate colitis. Long-term outcome in patients after ileal pouch- anal anastomosis.  Dis.Colon Rectum. 1995;  38 51-54
  • 7 Buhr H J, Heuschen U A, Stern J. et al . Continence preserving operation after proctocolectomy. Indications, technique and results.  Chirurg. 1993;  64 601-613
  • 8 Rolny P, Sadik R. Longer term outcome of steroid refractory ulcerative colitis treated with intravenous cyclosporine without subsequent oral cyclosporine maintenance therapy.  Int. J.Colorectal Dis. 2002;  17 67-69
  • 9 Raedler A. Etiology of inflammatory bowel syndrome.  Int. J.Colorectal Dis. 2001;  16 269-270
  • 10 Buhr H J, Heuschen U A, Stern J. et al . Technique and results of the ileo­anal pouch after proctocolectomy.  Zentralbl.Chir. 1994;  119 867-877
  • 11 Fazio V W, O’Riordain M G, Lavery I C. et al . Long-term functional outcome and quality of life after stapled restorative proctocolectomy.  Ann Surg. 1999;  230 575-584
  • 12 Hurst R D, Finco C, Rubin M. et al . Prospective analysis of perioperative morbidity in one hundred consecutive colectomies for ulcerative colitis.  Surgery. 1995;  118 748-754
  • 13 Mikkola K, Luukkonen P, Jarvinen H J. Long-term results of restorative proctocolectomy for ulcerative colitis.  Int.J Colorectal Dis. 1995;  10 10-14
  • 14 Hendriksen C, Kreiner S, Binder V. Long term prognosis in ulcerative colitis-based on results from a regional patient group from the county of Copenhagen.  Gut. 1985;  26 158-163
  • 15 Mir-Madjlessi S H, Farmer R G, Easley K A. et al . Colorectal and extracolonic malignancy in ulcerative colitis.  Cancer. 1986;  58 1569-1574
  • 16 Gyde S N, Prior P, Allan R N. et al . Colorectal cancer in ulcerative colitis: a cohort study of primary referrals from three centres.  Gut. 1988;  29 206-217
  • 17 Gilat T, Fireman Z, Grossman A. et al . Colorectal cancer in patients with ulcerative colitis. A population study in central Israel.  Gastro­enterology. 1988;  94 870-877
  • 18 Lennard-Jones J E, Melville D M, Morson B C. et al . Precancer and cancer in extensive ulcerative colitis: findings among 401 patients over 22 years.  Gut. 1990;  31 800-806
  • 19 Prosst R L, Gahlen J. Fluorescence diagnosis of colorectal neoplasms: a review of clinical applications.  Int. J.Colorectal Dis. 2002;  17 1-10
  • 20 Dozois R R, Nelson H, Metcalf A M. Sexual function after ileo-anal anastomosis.  Ann Chir. 1993;  47 1009-1013
  • 21 Kroesen A J, Stern J, Buhr H J. et al . Incontinence after ileo-anal pouch anastomosis-diagnostic criteria and therapeutic sequelae.  Chirurg. 1995;  66 385-391
  • 22 Gullberg K, Liljeqvist L. Stapled ileoanal pouches without loop ileostomy: a prospective study in 86 patients.  Int. J.Colorectal Dis. 2001;  16 221-227
  • 23 Lamah M, Scott H J. Inflammatory bowel disease and pregnancy.  Int. J.Colorectal Dis. 2002;  17 216-222
  • 24 Metcalf A M, Dozois R R, Kelly K A. Sexual function in women after proctocolectomy.  Ann Surg. 1986;  204 624-627
  • 25 Keighley M R. „Pouchitis”; histology.  Ann Chir. 1993;  47 1029-1033
  • 26 Gullberg K, Lindforss U, Zetterquist H. et al . Cancer risk assessment in long-standing pouchitis. DNA aberrations are rare in transformed neoplastic pelvic pouch mucosa.  Int. J.Colorectal Dis. 2002;  17 92-97
  • 27 Heuschen U A, Allemeyer E H, Hinz U. et al . Glutamine distribution in patients with ulcerative colitis and in patients with familial adenomatous polyposis coli before and after restorative proctocolectomy.  Int. J.Colorectal Dis. 2002;  17 245-252
  • 28 Willis S, Kisielinski K, Klosterhalfen B. et al . Morphological and functional adaptation of the small intestine after colectomy and ileal pouch-anal anastomosis in rats.  Int. J.Colorectal Dis. 2002;  17 85-91
  • 29 Luukkonen P, Jarvinen H, Tanskanen M. et al . Pouchitis-recurrence of the inflammatory bowel disease?.  Gut. 1994;  35 243-246
  • 30 Heuschen U A, Heuschen G, Autschbach F. et al . Adenocarcinoma in the ileal pouch: late risk of cancer after restorative proctocolectomy.  Int. J.Colorectal Dis. 2001;  16 126-130
  • 31 Kuhbacher T. Pouchitis and the risk of cancer?.  Int. J.Colorectal Dis. 2001;  16 131
  • 32 Wolff B G, Beahrs O H. Preservation of the anorectum 21. Adv.  Surg. 1984;  18 1-35
  • 33 Korsgen S, Keighley M R. Causes of failure and life expectancy of the ileoanal pouch.  Int.J Colorectal Dis. 1997;  12 4-8
  • 34 Makowiec F, Jehle E C, Becker H D. et al . Clinical course after transanal advancement flap repair of perianal fistula in patients with Crohn’s disease.  Br.J Surg. 1995;  82 603-606
  • 35 Ozuner G, Hull T L, Cartmill J. et al . Long-term analysis of the use of transanal rectal advancement flaps for complicated anorectal/vaginal fistulas.  Dis.Colon Rectum. 1996;  39 10-14
  • 36 Yamamoto T, Allan R N, Keighley M R. Risk factors for intra-abdominal sepsis after surgery in Crohn’s disease.  Dis.Colon Rectum. 2000;  43 1141-1145
  • 37 Panis Y, Poupard B, Nemeth J. et al . Ileal pouch/anal anastomosis for Crohn’s disease.  Lancet. 1996;  347 854-857
  • 38 Panis Y. Is there a place for ileal pouch-anal anastomosis in patients with Crohn’s colitis?.  Neth. J.Med. 1998;  53 S47-S51

Prof. Dr. med. H. J. Buhr

Chirurgische Klinik I

Hindenburgdamm 30

12200 Berlin

Email: buhr@ukbf.fu-berlin.de

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