Wilk P J, Fazio V, Turnbull R B
Dis Colon Rectum. 1977 Jul-Aug;20(5):387-92. doi: 10.1007/BF02587367.
Nine cases of duodenal fistula complicating Crohn's disease are reported. All nine patients were male. Four patients had Crohn's disease of the ileum and five had ileocolitis. No patient had primary duodenal Crohn's disease. Because attempt at primary closure of the duodenal defect may fail, our treatment of choice has been formal cross cut two-layered duodenojejunal anastomostis with extensive drainage of the area postoperatively. This treatment has been associated with no mortality and little morbidity, and no late recurrence of duodenal fistula.
本文报告了9例克罗恩病并发十二指肠瘘的病例。所有9例患者均为男性。4例患者患有回肠克罗恩病，5例患有回结肠型克罗恩病。无患者患有原发性十二指肠克罗恩病。由于试图直接闭合十二指肠缺损可能失败，我们选择的治疗方法是进行正规的横切双层十二指肠空肠吻合术，并在术后对该区域进行广泛引流。这种治疗方法无死亡病例，发病率低，且十二指肠瘘无晚期复发。
