Surgical treatment of duodenal fistula with intra-abdominal infection
10.3760/cma.j.cn113855-20220630-00427
- VernacularTitle:十二指肠瘘伴腹腔感染的手术治疗
- Author:
Pengfei MA
1
;
Sen LI
;
Yanghui CAO
;
Junli ZHANG
;
Chenyu LIU
;
Xijie ZHANG
;
Zhenyu LI
;
Changzheng LI
;
Guangsen HAN
;
Yuzhou ZHAO
Author Information
1. 郑州大学附属肿瘤医院普外科，郑州 450008
- Keywords:
Intestinal fistula;
Intraabdominal infections;
Surgical procedures, operative
- From:
Chinese Journal of General Surgery
2023;38(2):101-104
- CountryChina
- Language:Chinese
-
Abstract:
Object:To explore surgical treatments for duodenal fistula with intra-abdominal infection.Methods:The data of 19 patients with duodenal fistula treated at the Affiliated Tumor Hospital of Zhenzhou University between Jan 2015 and Dec 2021 were analyzed retrospectively. Surgery is performed with duodenostomy or modified duodenal shunt procedures.Result:All patients were accompanied by intra-abdominal infection, including 9 duodenal stump fistulas. All patients successfully completed the operation,11cases underwent duodenostomy, 8 case underwent modified duodenal shunt procedures. operating time was 110(60-140)min, postoperative hospitalization time was 29(9-103)d. Two patients died postoperatively. Fistula heals in other patients.Conclusion:Surgical intervention for duodenal fistula should focus on controlling the source of infection, strengthening intestinal and abdominal drainage, and reducing postoperative complications.
