Chang A E, Rhoads J E
J Surg Oncol. 1982 Sep;21(1):33-6. doi: 10.1002/jso.2930210109.
A case of primary malignant duodenocolic fistula is presented. Colonic carcinoma is the most common etiology of this entity. clinical features include diarrhea, weight loss, anemia, and feculent vomiting. Review of the literature indicates that the treatment of choice is a right hemicolectomy with a pancreaticoduodenectomy or segmental duodenectomy if the disease is localized. Forty-six percent of patients undergoing this procedure have been reported to be alive more than 2.5 years later. If the disease is disseminated, the best palliative procedure appears to be a right hemicolectomy with a partial duodenectomy. The early morbidity and mortality associated with this latter procedure have been attributed most often to dehiscense of the duodenal closure.
本文报告一例原发性恶性十二指肠结肠瘘病例。结肠癌是该病症最常见的病因。临床特征包括腹泻、体重减轻、贫血和粪样呕吐。文献回顾表明，若疾病局限，治疗的首选方法是右半结肠切除术联合胰十二指肠切除术或节段性十二指肠切除术。据报道，接受该手术的患者中有46%在2.5年后仍然存活。如果疾病已播散，最佳的姑息性手术似乎是右半结肠切除术联合部分十二指肠切除术。与后一种手术相关的早期发病率和死亡率最常归因于十二指肠闭合处的裂开。
