Diagnosis and Treatment of Gastrointestinal Fistula after Radical Gastrectomy:Fifteen Cases Report
- VernacularTitle:胃癌根治术后并发胃肠道瘘的诊治：附15例报告
- Author:
Wei WANG
1
;
Jiejie JIN
;
Ziwen LONG
;
Zhong CHEN
;
Hong CAI
;
Xiaowen LIU
;
Ye ZHOU
;
Yanong WANG
;
Hua HUANG
Author Information
1. 复旦大学附属肿瘤医院胃及软组织外科
- Keywords:
Gastric cancer;
Radical gastrectomy;
Gastrointestinal fistula
- From:
Chinese Journal of Clinical Medicine
2015;(3):353-355
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the diagnosis and treatment of gastrointestinal fistula after radical gastrectomy .Methods:The clinical data of 15 patients ,who underwent radical gastrectomy and suffered post‐surgery gastrointestinal fistula at Depart‐ment of Gastric Cancer and Soft Tissue Sarcoma ,Shanghai Cancer Center ,Fudan University from Jan 2013 to Dec 2014 ,were retrospectively analyzed .Results:Four of the fifteen patients received reoperative procedures for peritoneal drainage .And the other 11 patients were cured after B ultrasound or CT imaging guided percutaneous catheter drainage and treatments such as fasting ,gastrointestinal decompression ,and enteral nutrition via needle catheter jejunostomy .No patient died .There was no statistically significant difference regarding length of hospital stay ,leukocytes abnormal days in peripheral blood and fever days after the diagnosis of gastrointestinal fistula between the reoperation group and the non‐reoperation group(P>0 .05) .Conclu‐sions:Early diagnosis ,as well as adequate and effective drainage is the key to cure for gastrointestinal fistula after radical gas‐trectomy .If operation indication is properly managed and nonsurgical treatment such as percutaneous catheter drainage is effec‐tive ,then reoperation can be avoided .
