Zakharash M P, Bekmuradov A R, Zakharash Iu M, Stetsenko A P, Tarasiuk T V, Moroz V V
Khirurgiia (Mosk). 2012(3):49-53.
The experience of surgical treatment of 10 patients with external intestinal fistulae was analyzed. The plot of the operation was to exlude the duodenum from the digestion by performing the retrocolic gastroenteroanastomosis after Roux or on the ultrashort loop. Early operation prevent septic complications and electrolyte disbalance. Duodenal fistulae, developed on the background of pancreonecrosis or after endoscopic retrograde cholangiopancreaticography, necessitate the external choledochial drainage.
分析了10例肠外瘘患者的外科治疗经验。手术方案是在Roux袢或超短袢后行结肠后胃空肠吻合术，使十二指肠不参与消化过程。早期手术可预防感染并发症和电解质失衡。在胰腺坏死背景下或内镜逆行胰胆管造影术后发生的十二指肠瘘，需要进行胆总管外引流。
