Raju Gottumukkala Subba
Department of Gastroenterology, Hepatology, and Nutrition-Unit 1466, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030-4009, USA.
Am J Gastroenterol. 2009 May;104(5):1315-20. doi: 10.1038/ajg.2009.34. Epub 2009 Apr 14.
Surgery has been the mainstay of therapy in patients with gastrointestinal perforations. This paradigm started to shift with the development of techniques for endoscopic closure of gastrointestinal perforations. A detailed review of the literature on this subject, along with a commentary on practical aspects in the management of patients with gastrointestinal leaks, is provided here.
手术一直是胃肠道穿孔患者治疗的主要手段。随着胃肠道穿孔内镜闭合技术的发展，这种模式开始发生转变。本文提供了关于该主题的文献详细综述，以及对胃肠道瘘患者管理实际方面的评论。
