Arebi Naila, Forbes Alastair
Department of Medicine, St. Mark's Hospital, Harrow, Middlesex, United Kingdom.
Clin Colon Rectal Surg. 2004 May;17(2):89-98. doi: 10.1055/s-2004-828655.
Despite improvements in healthcare delivery, mortality rates for high-output fistulae remain unchanged. The pathophysiology and causes of fistulae are reviewed in this article. An overview of the diagnostic procedures to delineate fistulae and underlying bowel disease together with their complications is included. Management of high-output fistulae consists of assessment and stabilization of patients, followed by conservative management by a multidisciplinary team until spontaneous or surgical closure of fistulae.
尽管医疗服务有所改善，但高流量瘘的死亡率仍未改变。本文回顾了瘘的病理生理学和病因。其中包括对用于明确瘘和潜在肠道疾病及其并发症的诊断程序的概述。高流量瘘的管理包括对患者进行评估和稳定病情，随后由多学科团队进行保守治疗，直至瘘自行闭合或通过手术闭合。
