Application of negative pressure drainage in the treatment of duodenal stump fistula after gastrectomy
10.3760/cma.j.cn431274-20200522-00653
- VernacularTitle:负压引流在胃切除术后十二指肠残端瘘治疗中的应用
- Author:
Fang WU
1
;
Hongmei YANG
;
Zhenguang CHEN
;
Songyang WU
;
Yao LUO
;
Zaiyuan YE
Author Information
1. 树兰(杭州)医院胃肠外科 330022
- From:
Journal of Chinese Physician
2020;22(6):815-817
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the role of negative pressure drainage in the treatment of duodenal stump fistula after gastrectomy.Methods:The data of 36 patients with duodenal stump fistula admitted in our department from January 2016 to January 2020 were analyzed retrospectively. According to the drainage mode of patients with intestinal fistula, the patients were divided into negative pressure drainage group (observation group) and conventional rubber tube drainage group (control group), 18 cases in each group. The incidence of complications and healing time of intestinal fistula in the two groups were observed.Results:There was no significant difference ( P>0.05) in the incidence of complications between the observation group (5.56%) and the control group (11.11%). There was a significant difference in the mean healing time between the observation group [(12.83±6.25)days] and the control group [(23.33±4.64)days] ( P<0.05). Conclusions:Negative pressure drainage is beneficial to the healing of duodenal stump fistula, and does not improve the incidence of postoperative complications. It is safe and effective. It can be used as a conventional drainage for gastrectomy.
