Academic Journal
Two-Stage Treatment of Enterocutaneous Fistulas
| العنوان: | Two-Stage Treatment of Enterocutaneous Fistulas |
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| المؤلفون: | V. Yu. Struchkov, S. V. Berelavichus, E. A. Akhtanin, D. S. Gorin, M. V. Dvukhzhilov, A. A. Goev, A. I. Burmistrov, P. V. Markov, A. G. Kriger |
| المصدر: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии, Vol 33, Iss 4, Pp 58-69 (2023) |
| بيانات النشر: | Gastro LLC, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | enterocutaneous fistula, enteroatmospheric fistula, two-stage treatment, nutritional support, nutritional deficiency, surgical treatment, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Aim: to determine the most efficient treatment of enterocutaneous fistulas.Materials and methods. Eighty-eight patients with intestinal fistulas underwent a two-stage treatment, including: the first stage — multicomponent therapy, the second stage — reconstructive surgery. Enterocutaneous fistulas were diagnosed in 61 patients, enteroatmospheric fistulas — in 26 patients, and combined fistula (enterocutaneous and enteroatmospheric) — in 1 patient.Results. All 88 patients underwent reconstructive surgery after the multicomponent therapy. Resection of the intestine with a fistula with the formation of an entero-entero anastomosis was performed in 72 (81.8 %) patients; marginal resection of the intestine with a fistula, followed by suturing of the defect — in 7 (8.0 %); resection of the intestine with fistulas in combination with excision and suturing of the fistula — in 5 (5.7 %); an operation aimed at disabling the fistula from the passage of intestinal contents — in 3 (3.4 %); resection of the intestine with a fistula in combination with fistula exclusion — in 1 (1.1 %) patient. Postoperative complications in the group of patients with enteroatmospheric fistulas occurred in 13 cases, in the group with enterocutaneous fistulas — in 25 patients. Three (3.4 %) patients with enterocutaneous fistulas died from complications unrelated to the underlying disease and surgical interventions.Conclusion. Two-stage treatment including multicomponent therapy (nutritional support, infection generalization control, local wound treatment) and reconstructive surgery allowed to reduce mortality rates to 3.4 %, which proves the effectiveness of this method. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | Russian |
| تدمد: | 1382-4376 2658-6673 |
| Relation: | https://www.gastro-j.ru/jour/article/view/788; https://doaj.org/toc/1382-4376; https://doaj.org/toc/2658-6673 |
| DOI: | 10.22416/1382-4376-2023-33-4-58-69 |
| URL الوصول: | https://doaj.org/article/b849dbf7afc944d3a1566368133ac279 |
| رقم الانضمام: | edsdoj.b849dbf7afc944d3a1566368133ac279 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 13824376 26586673 |
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| DOI: | 10.22416/1382-4376-2023-33-4-58-69 |