Download PDF
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)

Also available at
   Permissions and Reprints

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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 3 Korsgen S, Keighley M R. Causes of failure and life expectancy of the ileoanal pouch.  Int.J Colorectal Dis. 1997;  12 4-8
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 9 Raedler A. Etiology of inflammatory bowel syndrome.  Int. J.Colorectal Dis. 2001;  16 269-270
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 19 Prosst R L, Gahlen J. Fluorescence diagnosis of colorectal neoplasms: a review of clinical applications.  Int. J.Colorectal Dis. 2002;  17 1-10
    PubMedSearch in Google Scholar
  • 20 Dozois R R, Nelson H, Metcalf A M. Sexual function after ileo-anal anastomosis.  Ann Chir. 1993;  47 1009-1013
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 23 Lamah M, Scott H J. Inflammatory bowel disease and pregnancy.  Int. J.Colorectal Dis. 2002;  17 216-222
    PubMedSearch in Google Scholar
  • 24 Metcalf A M, Dozois R R, Kelly K A. Sexual function in women after proctocolectomy.  Ann Surg. 1986;  204 624-627
    CrossrefPubMedSearch in Google Scholar
  • 25 Keighley M R. „Pouchitis”; histology.  Ann Chir. 1993;  47 1029-1033
    PubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 29 Luukkonen P, Jarvinen H, Tanskanen M. et al . Pouchitis-recurrence of the inflammatory bowel disease?.  Gut. 1994;  35 243-246
    CrossrefPubMedSearch in Google Scholar
  • 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
    CrossrefPubMedSearch in Google Scholar
  • 31 Kuhbacher T. Pouchitis and the risk of cancer?.  Int. J.Colorectal Dis. 2001;  16 131
    CrossrefPubMedSearch in Google Scholar
  • 32 Wolff B G, Beahrs O H. Preservation of the anorectum 21. Adv.  Surg. 1984;  18 1-35
    PubMedSearch in Google Scholar
  • 33 Korsgen S, Keighley M R. Causes of failure and life expectancy of the ileoanal pouch.  Int.J Colorectal Dis. 1997;  12 4-8
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar
  • 37 Panis Y, Poupard B, Nemeth J. et al . Ileal pouch/anal anastomosis for Crohn’s disease.  Lancet. 1996;  347 854-857
    CrossrefPubMedSearch in Google Scholar
  • 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
    PubMedSearch in Google Scholar

Prof. Dr. med. H. J. Buhr

Chirurgische Klinik I

Hindenburgdamm 30

12200 Berlin

Email: buhr@ukbf.fu-berlin.de