减重手术后多个高流量胃肠造口瘘（胃、空肠、横结肠）的综合治疗

Complex treatment of multiple high-output enterocutaneous fistulas (gastric, jejunum, transversum) after bariatric surgery.

作者信息

Struchkov Vladimir Yu, Berelavichus Stanislav V, Dvuhzhilov Mihail V, Akhtanin Evgenij A, Kriger Andrej G

机构信息

Department of Abdominal Surgery, A.V. Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.

Leadership of Multidisciplinary Medical Center of the Bank of Russia, Moscow, Russia.

出版信息

J Surg Case Rep. 2023 Mar 7;2023(3):rjad096. doi: 10.1093/jscr/rjad096. eCollection 2023 Mar.

DOI:10.1093/jscr/rjad096

PMID:36896159

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9991578/

Abstract

Multiply high-output enterocutaneous fistulas (ECF) is a tragic postoperative complication. This report describes complex treatment of patient with multiple enterocutaneous fistulas after bariatric surgery, including a comprehensive preoperative preparation for 3 months (sepsis control, nutritional support and wound care) and reconstructive surgery (laparotomy, distal gastrectomy, resection of the small bowel with fistulas, Roux-gastrojejunostomy, transversostomy).

摘要

多发高流量肠外瘘（ECF）是一种严重的术后并发症。本报告描述了一位肥胖症手术后出现多发肠外瘘患者的综合治疗过程，包括为期3个月的全面术前准备（控制脓毒症、营养支持和伤口护理）以及重建手术（剖腹探查术、远端胃切除术、切除有瘘的小肠、 Roux式胃空肠吻合术、横结肠造口术）。