Evaluation and management of gastrointestinal fistula after upper gastrointestinal tunnel endoscopic surgery
10.3760/cma.j.cn321463-20230730-00603
- VernacularTitle:上消化道隧道内镜术后消化道瘘的评估与处理
- Author:
Liang ZHU
1
;
Quanlin LI
;
Zuqiang LIU
;
Mingyan CAI
;
Wenzheng QIN
;
Weifeng CHEN
;
Yiqun ZHANG
;
Yunshi ZHONG
;
Liqing YAO
;
Pinghong ZHOU
Author Information
1. 上海市老年医学中心内镜中心，上海 201100
- Keywords:
Digestive system fistula;
Upper gastrointestinal tract;
Tunnel endoscopic surgery
- From:
Chinese Journal of Digestive Endoscopy
2023;40(12):1006-1010
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the evaluation and management of gastrointestinal fistula after upper gastrointestinal tunnel endoscopic surgery, a retrospective analysis was performed on 15 patients with gastrointestinal fistula after upper gastrointestinal tunnel endoscopic surgery, who were treated at the Endoscopy Center of Zhongshan Hospital, Fudan University from January 2012 to October 2022. All patients were treated successfully after comprehensive treatment. Three patients received metal clipping and gastric tube drainage; 10 patients received gastric tube drainage combined with jejunal nutritional tube placement, and 7 of them had gastric tube directly put into the fistula cavity; 2 patients received covered esophageal stent placement combined with jejunal nutritional tube placement. Five patients received wound tissue glue spraying; 2 patients underwent purse-string suture with nylon loops and metal clips after reduced fistula burned by hot biopsy forcep or argon plasma coagulation. The gastrointestinal fistula after tunnel endoscopic surgery is a complex postoperative complication, which needs early detection, careful evaluation and comprehensive treatment.
