FISTULOSCOPY - AN ADJUVANT TECHNIQUE FOR SEALING GASTROINTESTINAL FISTULAS

被引：42

作者：

LANGE, V

MEYER, G

WENK, H

SCHILDBERG, FW

机构：

[1] Chirurgische Klinik Grosshadern, Ludwig-Maximilians-Universität, München, W-8000

[2] Klinik für Chirurgie, Medizinische Universtität, Lübeck, W-2400

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1990年 / 4卷 / 04期

关键词：

FISTULOSCOPY; PERCUTANEOUS ENDOSCOPY; SEALING OF GASTROINTESTINAL FISTULAS; FIBRIN SEALANT;

D O I：

10.1007/BF00316795

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Endoscopic occlusion of gastrointestinal fistulae can be successfully achieved in a high percentage of patients. In cases where the intestinal opening of the fistula is not accessible, such treatment was hitherto impracticable. Fistuloscopy is a new technique which we have devised, using a flexible endoscope advanced percutaneously along the fistula tract to seal these gastrointestinal fistulae. Eleven out of 17 enterocutaneous fistulae and 5 out of 8 abscesses could be sealed using this technique. The complications in this series were all caused by fibrin glue injection into the fistulae under pressure. One patient died of an air embolism. Provided that elevation of the air pressure in the fistula system is strictly avoided, fistuloscopy is a safe and potent method of occluding gastrointestinal fistulae, which otherwise need prolonged conservative treatment or hazardous surgical intervention.

引用

页码：212 / 216

页数：5

共 9 条

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