Del Rio Paolo, Dell'Abate Paolo, Soliani Paolo, Ziegler Stefanie, Arcuri Mariafrancesca, Sianesi Mario
Surgical Department General Surgery and Organ Transplantation, University of Parma, Parma, Italy.
Acta Biomed. 2005 Sep;76(2):95-8.
So far, the use of fibrin glue has been limited to the treatment of anal, recto-vaginal and enterocutaneous fistulae. Between 1991 and 2003 we performed the treatment of anastomotic leaks of the upper and lower gastro-intestinal tract with fibrin glue in 13 selected patients. In our experience the treatment with fibrin glue has been proved to be effective in the selected cases. If the fistulae clinically occured 7 days after surgery a higher number of endoscopic sessions were necessary than in patients with earlier appearance of anastomotic leakage. The utilization of fibrin glue for the endoscopic management of anastomotic leakages after surgery can be successful and safe if applied in selected patients.
到目前为止，纤维蛋白胶的应用仅限于治疗肛门、直肠阴道和肠皮肤瘘。1991年至2003年间，我们对13例选定患者使用纤维蛋白胶治疗上、下消化道吻合口漏。根据我们的经验，在选定的病例中，纤维蛋白胶治疗已被证明是有效的。如果瘘在术后7天临床出现，与吻合口漏出现较早的患者相比，需要更多的内镜检查次数。如果应用于选定的患者，纤维蛋白胶用于术后吻合口漏的内镜处理可以是成功且安全的。
