Soeters P B, Fischer J E, Franklin C
Arch Chir Neerl. 1977;29(1):19-31.
One hundred and nineteen patients with gastrointestinal fistulas were treated in the Massachusetts General Hospital, Boston, in the period from January 1960 to January 1970. None of these patients was hyperalimented. The mortality in this seris amounted to 15%; 78.2% of the patients had their fistulas closed. These results are correlated with primary disease, etiology, fistula output, fistula location, type of treatment, malnutrition, electrolyte disturbances and sepsis. In the discussion it is concluded that treatment based on sound surgical principles acquired in the past decades, with the support of modern techniques of intensive patient care, should considerably diminish mortality and improve closure rate.
1960年1月至1970年1月期间，波士顿的马萨诸塞州总医院对119例胃肠瘘患者进行了治疗。这些患者均未接受过胃肠外营养支持。该系列患者的死亡率为15%；78.2%的患者瘘口愈合。这些结果与原发病、病因、瘘口排出量、瘘口位置、治疗方式、营养不良、电解质紊乱及脓毒症相关。讨论得出结论，基于过去几十年所掌握的合理外科原则，并辅以现代重症患者护理技术的治疗，应能显著降低死亡率并提高瘘口愈合率。
