Santos F, Campos J, Freire J, Andrade A, Távora I, Castelo H B
Clínica Cirúrgica, Faculdade de Medicina de Lisboa, Hospital de Santa Maria.
Hepatogastroenterology. 1997 Jul-Aug;44(16):1085-9.
Enterocutaneous fistulas are not a minor problem in gastrointestinal tract surgery. Significant reduction of mortality and morbidity has been attained but they still remain high. The authors report three clinical cases in which they sealed and treated enterocutaneous, chronic, iatrogenic fistulas by injecting biological glue (N-Butil 2-Cyanoacrylate-Histoacryl) into the internal opening and fistulous tract. We believe that the technic we propose here, in the proper setting, may be an important contribution to the management of iatrogenic (postoperative) enterocutaneous fistulas.
肠皮肤瘘在胃肠道手术中并非小问题。尽管死亡率和发病率已大幅降低,但仍处于较高水平。作者报告了三例临床病例,通过向肠皮肤慢性医源性瘘管的内口和瘘管注入生物胶(N-丁基2-氰基丙烯酸酯-组织黏合剂)来封闭和治疗这些瘘管。我们认为,我们在此提出的技术,在适当的情况下,可能对医源性(术后)肠皮肤瘘的管理做出重要贡献。