Russell L J, Kearl G W
University of Kentucky College of Medicine, Lexington.
Am Fam Physician. 1989 Oct;40(4):223-5.
Abdominal pain, diarrhea, weight loss, vomiting, foul eructation, feculent vomiting and melena are among the presenting symptoms of patients with a gastrocolic fistula. A routine physical examination is useful in ruling out the more common causes of the presenting complaints. Barium enema shows the gastrocolic fistula in 90 to 100 percent of cases. En bloc resection of the stomach and colon is the treatment of choice. Alternative therapies include a temporary diverting colostomy, total parenteral nutrition and antacid therapy.
腹痛、腹泻、体重减轻、呕吐、嗳气恶臭、粪样呕吐和黑便是胃结肠瘘患者的常见症状。常规体格检查有助于排除常见的主诉病因。钡剂灌肠在90%至100%的病例中可显示胃结肠瘘。胃和结肠整块切除是首选治疗方法。替代疗法包括临时转流性结肠造口术、全胃肠外营养和抗酸治疗。
