Rudin E P, Ermolov A S, Bogdanov A V, Mironov A S
Khirurgiia (Mosk). 2004(12):15-7.
Eighty-two cases of un formed high intestinal fistulas are analyzed. Degree of non-formation and volume of chymus loss are the main criteria determining treatment policy. Early surgery (one or two-sided switching of fistulas zone) is indicated in intestinal loss more then 600-700 ml per day or in complete fistula. Mezonnes surgery was un effective in the majority of cases. Special policy including trunk vagotomy, antrumectomy and plastic repair of the duodenal bulb permitted in the last years to avoid duodenal fistulas in the treatment of ulcer disease.
对82例未形成的高位肠瘘病例进行了分析。未形成程度和乳糜损失量是决定治疗策略的主要标准。对于每天肠液丢失超过600 - 700毫升或完全性瘘的情况，建议早期手术（瘘区一侧或双侧转换）。在大多数病例中，迷走神经切断术无效。近年来，包括迷走神经干切断术、胃窦切除术和十二指肠球部整形修复在内的特殊策略，使得在溃疡病治疗中能够避免十二指肠瘘的发生。
