Broe P J, Cameron J L
Am J Surg. 1982 May;143(5):611-3. doi: 10.1016/0002-9610(82)90176-3.
Seventeen patients with ileosigmoid fistula complicating Crohn's disease are reported on. Eighty-two percent of the fistulas were diagnosed radiologically. Thirteen of the patients (76 percent) were treated by resection of the diseased ileum and cecum with primary anastomosis, division of the fistula, and simple closure of the colon. There were no anastomotic leaks, and long-term follow-up demonstrated excellent results. Segmental sigmoid resection in addition to resection of the diseased ileum and cecum should only be performed when there is radiologic or histologic evidence of Crohn's disease of the colon. Proximal diversion is generally not required, and most procedures can be performed in one stage.
报告了17例克罗恩病并发回肠乙状结肠瘘的患者。82%的瘘通过放射学诊断。13例患者（76%）接受了病变回肠和盲肠切除并一期吻合、瘘管分离及结肠简单闭合治疗。无吻合口漏，长期随访显示效果良好。仅当有结肠克罗恩病的放射学或组织学证据时，才应在切除病变回肠和盲肠的基础上附加乙状结肠节段性切除。一般不需要近端转流，大多数手术可一期完成。
