Parekh D, Segal I, Ramalho R M
Department of Surgery, Baragwanath Hospital and University, Johannesburg.
S Afr Med J. 1992 May 2;81(9):478-9.
Choledochoduodenal fistula is an uncommon complication of duodenal ulcer disease. The role of medical therapy is unclear and surgical management has been recommended for the condition. A patient who was treated with ranitidine 150 mg twice daily for 8 weeks for a giant duodenal ulcer with a choledochoduodenal fistula is reported. Both the ulcer and the fistula completely healed on medical therapy. Medical therapy may now become the treatment of choice for this condition due to the availability of potent acid-reducing agents.
胆总管十二指肠瘘是十二指肠溃疡疾病的一种罕见并发症。药物治疗的作用尚不清楚，对于这种情况推荐采用手术治疗。本文报告了一名患有巨大十二指肠溃疡合并胆总管十二指肠瘘的患者，接受雷尼替丁每日两次、每次150毫克治疗8周。经药物治疗，溃疡和瘘均完全愈合。由于强效抑酸剂的出现，药物治疗现在可能成为这种疾病的首选治疗方法。
