克罗恩病合并结肠胃瘘的治疗。病例报告。

The management of Crohn's colitis with colonogastric fistula. Report of a case.

作者信息

Logio T, Chaiken B, Roth J, Newman E, Siegel T

出版信息

Dis Colon Rectum. 1987 Sep;30(9):699-704. doi: 10.1007/BF02561692.

Abstract

Colonogastric fistula, more commonly called "gastrocolic," is a rare complication of Crohn's colitis. The 17th incidence of this fistula is reported. Fecal halitosis is a prominent symptom. Barium enema is the most accurate diagnostic tool. Colonoscopy plays a role in delineating surgical therapy. The stomach resection is described. Because of its pathogenesis, the authors prefer to call this "colonogastric" fistula, rather than gastrocolic fistula.

摘要

结肠胃瘘，更常见的称呼是“胃结肠瘘”，是克罗恩病性结肠炎的一种罕见并发症。本文报告了该瘘管的第17例发病情况。粪臭口臭是一个突出症状。钡剂灌肠是最准确的诊断工具。结肠镜检查在确定手术治疗方案中发挥作用。文中描述了胃切除术。鉴于其发病机制，作者更倾向于将此称为“结肠胃瘘”，而非胃结肠瘘。