Adaba Franklin, Vaizey Carolynne J, Warusavitarne Janindra
Intestinal Failure Unit, St Mark's Hospital, London, United Kingdom.
Clin Colon Rectal Surg. 2017 Jul;30(3):215-222. doi: 10.1055/s-0037-1598163. Epub 2017 May 22.
This article provides an overview of the pathophysiology, causes, investigations, and management of high-output enterostomy and enterocutaneous fistula. High-output stoma and enterocutaneous fistula can result in intestinal failure and this is often fatal if not managed properly. The management involves reducing fluid losses, providing nutrients with fluids, and treating the underlying cause and sepsis. A multidisciplinary approach is required for successful management of patients with high-output enterostomy and enterocutaneous fistula.
本文概述了高流量肠造口术和肠皮肤瘘的病理生理学、病因、检查及管理。高流量造口和肠皮肤瘘可导致肠衰竭,若处理不当往往会致命。管理措施包括减少液体丢失、通过补液提供营养,以及治疗潜在病因和败血症。对于高流量肠造口术和肠皮肤瘘患者的成功管理需要多学科方法。