Hesp W L, Lubbers E J, de Boer H H, Hendriks T
Langenbecks Arch Chir. 1986;368(2):105-11. doi: 10.1007/BF01273849.
In the period 1977-1981 234 small bowel anastomoses were constructed in 143 patients. Eight anastomoses showed leakage (3.4%) and from nine anastomoses a fistula developed (3.8%): a total rate of disturbed healing of small bowel anastomoses (7.3%). In the presence of intra-abdominal infection this rate was 14.8%, in the absence of infection 0.8%. The results of treatment with oversewing and with resection and immediate anastomosis were disappointing. Better results were obtained by dismantling of the anastomosis, establishment of a split-enterostomy and reestablishment of continuity in a second stage. Mortality was 3/17 (18%). The literature is reviewed.
1977年至1981年期间，143例患者共进行了234例小肠吻合术。8例吻合口出现渗漏（3.4%），9例吻合口形成瘘管（3.8%）：小肠吻合口愈合障碍总发生率为7.3%。存在腹腔内感染时，该发生率为14.8%，无感染时为0.8%。单纯缝合以及切除并立即吻合的治疗效果令人失望。通过拆除吻合口、建立分流肠造口并在第二阶段重建连续性可获得更好的效果。死亡率为3/17（18%）。本文对相关文献进行了综述。
