Eleftheriadis E, Tzartinoglou E, Kotzampassi K, Aletras H
Department of Surgery, University of Thessaloniki, Greece.
Acta Chir Scand. 1990 Sep;156(9):625-8.
In seven patients with high-volume enterocutaneous fistula following gastric surgery, a new method of treatment was used. Fibrin tissue adhesive was applied transintestinally under endoscopic guidance, in one or multiple sessions, to occlude the anastomotic dehiscence and the perianastomotic cavity. Fistula output diminished rapidly in all cases, and complete closure was endoscopically confirmed. There were no complications related to the method. Because of the simplicity and safety of this procedure compared with the complexity of surgical treatment and the persistently high mortality associated with conservative management, interventional endoscopic approach is suggested as an option for treatment of high-volume alimentary fistula.
在7例胃手术后发生大量肠皮肤瘘的患者中，采用了一种新的治疗方法。在内镜引导下经肠道应用纤维蛋白组织粘合剂，进行一次或多次治疗，以封闭吻合口裂开处和吻合口周围腔隙。所有病例的瘘液排出量均迅速减少，经内镜确认完全闭合。该方法无相关并发症。由于与手术治疗的复杂性以及保守治疗持续存在的高死亡率相比，该操作简单且安全，因此建议将介入性内镜治疗作为大量消化道瘘的一种治疗选择。
