Division of Gastrointestinal and General Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Tech Coloproctol. 2014 Feb;18(2):205-8. doi: 10.1007/s10151-011-0793-2. Epub 2011 Nov 29.
Chronic colon fistulas, which commonly result from operative complications, are generally managed surgically. We present an endoscopic technique of fistula closure that involves the combined use of hemoclips and endoloops. Two consecutive patients with colonic fistulas that were refractory to conservative treatment were successfully managed with this new endoluminal technique. This minimally invasive treatment modality affords accurate localization of the fistula orifice and results in a low mortality and morbidity rates.
慢性结肠瘘通常由手术并发症引起,一般采用手术治疗。我们介绍一种内镜下的瘘口闭合技术,该技术涉及使用血管夹和内镜套扎器。连续 2 例经保守治疗无效的结肠瘘患者成功地采用了这种新的内镜技术进行治疗。这种微创治疗方法能够准确定位瘘口,并具有较低的死亡率和发病率。