Felipe de Campos-Lobato Luiz, Vogel Jon D
Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio.
Clin Colon Rectal Surg. 2010 Sep;23(3):176-81. doi: 10.1055/s-0030-1262985.
Enterocutaneous fistula (ECF) associated with cancer or radiation injury increases the complexity of normal management. Factors such as timing of additional adjuvant therapy or palliative care, technical considerations for operating on irradiated bowel, poor wound healing, increased risk of additional ECF, and decreased likelihood of spontaneous ECF closure all need to be considered in this scenario. Here the authors focus specifically on the management of ECF associated with cancer and/or radiation-induced injury to the bowel.
与癌症或放射损伤相关的肠皮肤瘘（ECF）增加了常规治疗的复杂性。在此种情况下，需要考虑诸多因素，如额外辅助治疗或姑息治疗的时机、对受照射肠道进行手术的技术考量、伤口愈合不良、发生额外肠皮肤瘘的风险增加以及肠皮肤瘘自发闭合的可能性降低等。本文作者特别关注与癌症和/或肠道放射损伤相关的肠皮肤瘘的治疗。
