Terryn F, Mabrut J-Y, Olagne E, Gignoux B, Garbit V, de La Roche E, Adham M, Gerard M, Souquet J-C, Ducerf C, Baulieux J
Service de chirurgie générale digestive et de la transplantation hépatique, hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69317 Lyon cedex 04, France.
Ann Chir. 2005 Sep;130(8):491-4. doi: 10.1016/j.anchir.2005.04.007.
Gastrojejunocolic fistulae, ultimate complication of anastomotic peptic ulceration, are presently uncommon. We report two recent cases of postoperative gastrojejunocolic fistulas (after duodenal ulcer surgery and total duodenopancreatectomy), which were complicated at time of diagnosis (acute peritonitis and liver cirrhosis) and required a two-stage treatment.
胃空肠结肠瘘是吻合口消化性溃疡的最终并发症,目前并不常见。我们报告了两例近期术后胃空肠结肠瘘的病例(分别在十二指肠溃疡手术后和全胰十二指肠切除术后),这两例在诊断时都伴有并发症(急性腹膜炎和肝硬化),需要分两阶段治疗。