Puia I C, Iancu C, Bălă O, Munteanu D, Al-Hajjar N, Cristea P G
Surgical Clinic III, University of Medicine and Pharmacy "Iuliu Haţieganu", Cluj-Napoca, Romania.
Chirurgia (Bucur). 2012 Jan-Feb;107(1):52-4.
Six gastrojejunocolic fistulae were recorded at our service between 1995-2005. All the fistulae occurred in men who had gastric resection performed for duodenal ulcer.
Diarrhea, weight loss, postprandial pain and fecal breath were the clinical findings present in descending frequency. Preoperative diagnosis was possible in 5 patients by endoscopy and barium contrast studies. In five patients the option was a one-stage procedure with revision gastrectomy and segmental resection of the transverse colon. In one case simple dismantling of the fistula was performed.
Although in two patients anastomotic leakage developed no mortality was recorded.
1995年至2005年间，我们科室记录了6例胃空肠结肠瘘。所有瘘均发生在因十二指肠溃疡行胃切除术的男性患者中。
腹泻、体重减轻、餐后疼痛和粪臭是按出现频率递减的临床表现。5例患者术前通过内镜检查和钡剂造影得以确诊。5例患者选择了一期手术，即再次行胃切除术和横结肠节段切除术。1例患者仅进行了瘘管拆除术。
尽管2例患者出现了吻合口漏，但无死亡病例记录。
