Fazio V W, Wilk P, Turnbull R B, Jagelman D G
Dis Colon Rectum. 1977 Jul-Aug;20(5):381-6. doi: 10.1007/BF02587365.
Between 1965 and 1975, 27 patients underwent surgical treatment for ileosigmoidal fistulas complicating Crohn's disease at the Cleveland Clinic. There was no death and no anastomotic leak. The preferred procedure is resection of the ileocecal area involved by Crohn's disease with ileocolic anastomosis and a separate segmental resection of the sigmoid colon with colocolic anastomosis. A covering temporary loop ileostomy is used when there is associated pelvic sepsis or small-bowel obstruction.
1965年至1975年间，27例患有克罗恩病并发回肠乙状结肠瘘的患者在克利夫兰诊所接受了外科治疗。无死亡病例，也无吻合口漏。首选的手术方式是切除克罗恩病累及的回盲部区域并进行回结肠吻合，同时对乙状结肠进行单独的节段性切除并进行结肠结肠吻合。当伴有盆腔感染或小肠梗阻时，采用覆盖性临时回肠造口术。
