Ballard David H, Erickson Abigail E M, Ahuja Chaitanya, Vea Romulo, Sangster Guillermo P, D'Agostino Horacio B
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.
Department of Radiology, Louisiana State University Health Shreveport. 1501 Kings Highway, Shreveport, LA.
Dig Dis Interv. 2018 Jun;2(2):131-140. doi: 10.1055/s-0038-1660452. Epub 2018 Jun 8.
Abscess-fistula complexes and enterocutaneous fistulae are due to postoperative, spontaneous, and inflammatory etiologies. Conservative, percutaneous, endoscopic, and surgical treatment options are available options. Interventional radiologists have an array of different treatment strategies, often starting with percutaneous drainage of associated intra-abdominal abscesses. This review article details different percutaneous management strategies, focusing on percutaneous catheter strategies for abscess-fistula complexes along with tract closures strategies for enterocutaneous fistulae.
脓肿-瘘管复合体和肠皮肤瘘是由术后、自发性和炎症性病因引起的。保守治疗、经皮治疗、内镜治疗和手术治疗都是可行的选择。介入放射科医生有一系列不同的治疗策略,通常从经皮引流相关的腹腔内脓肿开始。这篇综述文章详细介绍了不同的经皮管理策略,重点是脓肿-瘘管复合体的经皮导管策略以及肠皮肤瘘的瘘管闭合策略。