UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 小腸および多臓器移植の概要overview of intestinal and multivisceral transplantation [show details]
…observed risk of increased postoperative complications . In some patients, intestinal transplantation can be performed without creation of a stoma . Isolated intestinal transplantation is performed in patients …
2. 傍ストーマヘルニアparastomal hernia [show details]
…formation or immediately adjacent to the stoma. The development of a parastomal hernia is an almost inevitable complication following the construction of an intestinal stoma. Risk factors for parastomal hernia …
3. 便流変更のための外科的造瘻術の概要overview of surgical ostomy for fecal diversion [show details]
… preoperative counseling is associated with decreased stoma-related postoperative complications , improved postoperative patient stoma proficiency,… congenital anomalies, colon obstruction, inflammatory bowel disease, traumatic disruption of the intestinal tract, or gastrointestinal malignancy . Overall, the number of fecal diversions appears to be declining…
4. 回腸ストーマや結腸ストーマのケアと合併症ileostomy or colostomy care and complications [show details]
… persistent, recurrent, or difficult-to-manage complications from loop ileostomy creation should be considered for early reversal of the stoma and restoration of intestinal continuity, when feasible. Ileostomy …
5. 放射線性腸炎に対する外科的アプローチsurgical approach to radiation enteritis [show details]
… If a patient has adequate intestinal reserve, resecting radiation-damaged small bowel is preferred because complications may reappear later at the same… and the stoma site is marked to ensure that the stoma is placed outside the field of radiation.…

English Journal

Comparison Between Endoscopic Vacuum Therapy and Conventional Treatment for Leakage After Rectal Resection.

Kühn F, Janisch F, Schwandner F, Gock M, Wedermann N, Witte M, Klar E, Schiffmann L.
World journal of surgery. 2020 Apr;44(4)1277-1282.
Anastomotic leakage after rectal resection represents a severe complication for the patient and requires an early and appropriate management. Endoscopic vacuum therapy (EVT) has become the treatment of choice for anastomotic leakage after rectal resection in several institutions in Germany, and comm
PMID 31965274

Causes and Prognosis of Intestinal Failure in Crohn's Disease: An 18-year Experience from a National Centre.

Soop M, Khan H, Nixon E, Teubner A, Abraham A, Carlson G, Lal S.
Journal of Crohn's & colitis. 2020 Mar;().
Intestinal failure (IF) is a feared complication of Crohn's disease (CD). Although cumulative loss of small bowel due to bowel resections is thought to be the dominant cause, the causes and outcomes have not been reported. Consecutive adult patients referred to a national intestinal failure unit 200
PMID 32215559

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings.

Kang SM, Cho JR, Oh HK, Lee EJ, Kim MH, Kim DW, Kang SB.
Annals of coloproctology. 2020 Feb;36(1)17-21.
Single-port laparoscopic techniques can be optimized with confined incisions. This approach has an intraoperative advantage of excellent visualization of the correct intestinal segment for exteriorization, along with direct visual control of the extraction to avoid twisting. However, only a few stud
PMID 32146784

Japanese Journal

ストッキングを使用しストーマ脱出の管理をした1例

千葉史子,田中秀明,増本幸二
日本小児外科学会雑誌 54(4), 985-988, 2018
<p>ストーマ脱出はストーマ造設後に経験される比較的多い合併症である．治療としてストーマ再造設，腸管の固定などの侵襲的処置が行われることもあるが，小児では一時的なストーマであることも多く，保存的加療が望まれることもある．今回我々はストッキングを使用した装具を作製し，ストーマ脱出を良好に管理できた症例を経験したので報告する．症例は2生月男児．13トリソミー，Fallot四徴症を合併し，出 …
NAID 130007398319

難治性直腸肛門病変に対して30歳未満で直腸切断術を施行したクローン病17例の臨床経過の検討

小原尚,小金井一隆,辰巳健志,二木了,黒木博介,山田恭子,荒井勝彦,杉田昭,福島恒男
日本消化器外科学会雑誌 51(3), 245-252, 2018
<p>30歳未満で難治性直腸肛門病変に対して直腸切断術を施行したクローン病17例の臨床経過と予後を検討した．適応となった病態はのべ症例数で，直腸肛門狭窄12例，難治性痔瘻9例，直腸瘻4例，直腸膣瘻2例，骨盤内膿瘍2例，直腸尿道瘻1例，直腸周囲膿瘍1例，aggressive ulceration 1例，痔瘻癌1例であった．これらの病変により，全例，日常生活や就労・就学に支障を来していた． …
NAID 130006575845

悪性大腸狭窄に対する大腸ステント

斉田芳久
日本インターベンショナルラジオロジー学会雑誌 32(2), 130-135, 2017
… As palliative treatment, colonic stenting is becoming popular as an alternative to colonic stoma. … Colonic stent not only prevents stoma creation, but also achieves quick intestinal decompression without any discomfort such as abdominal pain. … However, during follow-up after the stent, complications might occur in 30~40% of patients. …
NAID 130006827210