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十二指肠溃疡胃手术后发生胃空肠结肠瘘:病例报告

Gastrojejunocolic fistula after gastric surgery for duodenal ulcer: case report.

作者信息

D'Amata G, Rahili A, Karimdjee-Soilihi B, Gelsi E, Avallone S, Benchimol D

机构信息

Nice University Hospital, Department of General Surgery and Digestive Oncology, Archet 2, Nice, France.

出版信息

G Chir. 2006 Oct;27(10):360-2.

Abstract

Gastrojejunocolic fistulae, a late complication of gastroenterostomy, are presently uncommon. Patients can present with symptoms of a fistula 20 years or more after their original gastric surgery. The knowledge of this rare condition can allow prevention, through a better operative strategy and a medical treatment at the phase of stomal ulcer with proton pump inhibitor and Helicobacter pylori eradication. We present a case of gastrojejunocolic fistula and discuss the modern management of this condition. Its etiological, clinical, and surgical features were briefly discussed.

摘要

胃空肠结肠瘘是胃肠吻合术的一种晚期并发症,目前并不常见。患者可能在初次胃部手术后20年或更长时间出现瘘管症状。了解这种罕见病症有助于通过更好的手术策略以及在吻合口溃疡阶段使用质子泵抑制剂和根除幽门螺杆菌进行药物治疗来预防。我们报告一例胃空肠结肠瘘病例,并讨论这种病症的现代治疗方法。简要讨论了其病因、临床和手术特征。

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