回肠新膀胱-肠瘘的保守治疗

Conservative management of an ileal neobladder-enteric fistula.

作者信息

Ng C S, Klein E A

机构信息

Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

出版信息

Urology. 1999 Aug;54(2):366. doi: 10.1016/s0090-4295(99)00094-1.

DOI:10.1016/s0090-4295(99)00094-1

PMID:10754133

Abstract

We present a case of an early ileal neobladder-enteric fistula after radical cystectomy with Studer pouch creation for muscle-invasive transitional cell carcinoma of the bladder. This patient was treated conservatively on an outpatient basis with prolonged catheter drainage, a low-residue diet, and oral antibiotics, with complete resolution by 8 weeks. The rationale for this approach in selected patients is discussed.

摘要

我们报告一例膀胱根治性切除术后采用Studer回肠新膀胱术治疗肌层浸润性膀胱移行细胞癌后出现早期回肠新膀胱-肠瘘的病例。该患者在门诊接受了保守治疗，包括延长导管引流、低渣饮食和口服抗生素，8周后完全康复。本文讨论了在特定患者中采用这种治疗方法的理论依据。