克罗恩病肠皮肤瘘的管理
Management of enterocutaneous fistulae in Crohn's disease.
作者信息
Hawker P C, Givel J C, Keighley M R, Alexander-Williams J, Allan R N
出版信息
Gut. 1983 Apr;24(4):284-7. doi: 10.1136/gut.24.4.284.
Abstract
The outcome among 39 patients with enterocutaneous fistulae complicating Crohn's disease has been reviewed. The patients were considered in two groups: (1) no disease - all were early postoperative fistulae (n = 9); (2) active disease (i) without abscess formation (n = 16), (ii) with abscess formation (n = 14). Postoperative fistulae with no evidence of active Crohn's disease healed spontaneously. Fistulae in the presence of active disease did not heal even with prolonged medical management. The only effective treatment was excision of the diseased segment from which the fistulae arose and any distal obstruction. None of the fistulae closed surgically has recurred.
摘要
对39例克罗恩病并发肠皮肤瘘的患者的治疗结果进行了回顾。这些患者被分为两组：（1）无疾病——均为术后早期瘘（n = 9）；（2）活动性疾病：（i）无脓肿形成（n = 16），（ii）有脓肿形成（n = 14）。无活动性克罗恩病证据的术后瘘可自愈。存在活动性疾病时的瘘即使经过长期药物治疗也不会愈合。唯一有效的治疗方法是切除产生瘘的病变节段及任何远端梗阻部位。手术闭合的瘘均未复发。
相似文献
1
Management of enterocutaneous fistulae in Crohn's disease.克罗恩病肠皮肤瘘的管理
Gut. 1983 Apr;24(4):284-7. doi: 10.1136/gut.24.4.284.
2
Enterocutaneous fistula.
Dis Colon Rectum. 1978 Nov-Dec;21(8):578-81. doi: 10.1007/BF02586400.
3
Entero-cutaneous fistulas and Crohn's disease.
Acta Gastroenterol Belg. 1987 Sep-Oct;50(5):580-600.
4
Abscess and fistulae in Crohn's disease.克罗恩病中的脓肿与瘘管
Gut. 1973 Nov;14(11):865-69. doi: 10.1136/gut.14.11.865.
5
[Ultrasonography in the diagnosis of enterocutaneous fistula in Crohn's disease].[超声检查在克罗恩病肠皮肤瘘诊断中的应用]
Radiol Med. 1998 Sep;96(3):214-7.
6
[Intestinal fistula in Crohn disease].[克罗恩病中的肠瘘]
Rev Esp Enferm Apar Dig. 1989 Aug;76(2):115-9.
7
Incidence, diagnosis, and treatment of enteric and colorectal fistulae in patients with Crohn's disease.克罗恩病患者肠道及结直肠瘘的发病率、诊断与治疗
Ann Surg. 1993 Nov;218(5):660-6. doi: 10.1097/00000658-199321850-00012.
8
[Total parenteral nutrition in patients with enterocutaneous intestinal fistulas].[肠皮肤瘘患者的全胃肠外营养]
Zentralbl Chir. 1983;108(2):77-86.
9
Management of enterocutaneous fistulas: a review of 132 cases.肠外瘘的管理：132例病例回顾
Br J Surg. 1984 Apr;71(4):293-6. doi: 10.1002/bjs.1800710416.
10
Enterocutaneous fistulas: effect of nutritional management and surgery.肠皮肤瘘：营养管理与手术的效果
Ital J Surg Sci. 1989;19(4):375-80.
引用本文的文献
1
Prevalence of Fistulizing Crohn's Disease in the United States: Estimate From a Systematic Literature Review Attempt and Population-Based Database Analysis.美国瘘管性克罗恩病的流行率：系统文献回顾尝试和基于人群数据库分析的估计。
Inflamm Bowel Dis. 2019 Oct 18;25(11):1773-1779. doi: 10.1093/ibd/izz056.
2
Surgical treatment of Crohn's disease.克罗恩病的外科治疗
J Gastrointest Surg. 2007 Jun;11(6):791-803. doi: 10.1007/s11605-006-0068-9.
3
Surgical management of entero and colocutaneous fistulae in Crohn's disease: 17 year's experience.克罗恩病肠内和肠皮肤瘘的手术治疗：17年经验
Int J Colorectal Dis. 2004 Sep;19(5):481-5; discussion 486. doi: 10.1007/s00384-004-0580-x. Epub 2004 May 26.
4
Hydrogen peroxide enhanced ultrasound- fistulography in the assessment of enterocutaneous fistulas complicating Crohn's disease.过氧化氢增强型超声瘘管造影术在评估克罗恩病并发肠皮肤瘘中的应用
Gut. 1999 Dec;45(6):874-8. doi: 10.1136/gut.45.6.874.
5
Conservative operations for Crohn's disease of the small bowel.
World J Surg. 1985 Dec;9(6):945-51. doi: 10.1007/BF01655400.
6
Percutaneous drainage of abscesses in patients with Crohn's disease.
Gastrointest Radiol. 1988 Jul;13(3):237-41. doi: 10.1007/BF01889070.
7
Medical or surgical treatment for Crohn's disease?克罗恩病的内科治疗还是外科治疗？
Postgrad Med J. 1988 Oct;64(756):764-8. doi: 10.1136/pgmj.64.756.764.
8
Surgical and metabolic management of patients with external fistulas of the small intestine associated with Crohn's disease.克罗恩病相关小肠外瘘患者的手术及代谢管理
World J Surg. 1988 Apr;12(2):191-7. doi: 10.1007/BF01658053.
9
Enterovesical fistulas in Crohn's disease.克罗恩病中的肠膀胱瘘
Ann R Coll Surg Engl. 1989 Mar;71(2):101-4.
本文引用的文献
1
Surgical management of Crohn's disease. Influence of disease at margin of resection.克罗恩病的外科治疗。切除边缘疾病的影响。
Ann Surg. 1980 Sep;192(3):311-8. doi: 10.1097/00000658-198009000-00006.
2
An evaluation of total parenteral nutrition in the management of inflammatory bowel disease.全胃肠外营养在炎症性肠病治疗中的评估
Dig Dis Sci. 1980 Jan;25(1):42-8. doi: 10.1007/BF01312731.
3
The operative treatment of Crohn's disease complicated by fistulae. A personal consecutive series.
Arch Surg. 1969 Apr;98(4):493-9.
4
Management of gastrointestinal fistulas.
Surg Gynecol Obstet. 1971 Sep;133(3):385-9.
5
High output enterocutaneous fistulas of the small bowel. An analysis of fity-five cases.
Am J Surg. 1972 Mar;123(3):317-22. doi: 10.1016/0002-9610(72)90293-0.
6
Abscess and fistulae in Crohn's disease.克罗恩病中的脓肿与瘘管
Gut. 1973 Nov;14(11):865-69. doi: 10.1136/gut.14.11.865.
7
Hyperalimentation as preparation for surgery in transmural colitis (Crohn's disease).
Dis Colon Rectum. 1974 Jul-Aug;17(4):469-75. doi: 10.1007/BF02587022.
8
Management of gastrointestinal fistulas with parenteral hyperalimentation.胃肠瘘的胃肠外高营养治疗
Surgery. 1973 Jul;74(1):100-5.
9
Hyperalimentation in inflammatory bowel disease.
Am J Surg. 1976 Feb;131(2):192-200. doi: 10.1016/0002-9610(76)90096-9.
10
Management of external gastrointestinal fistulas.胃肠道外瘘的管理
Ann Surg. 1978 Oct;188(4):460-7. doi: 10.1097/00000658-197810000-00003.
Zotero 插件