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Results for “Intestinal Fistula”

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At least 325 records · Page 18Linked to original sources
PubMed1998

Novel approach to the treatment of intestinal fistula in the inaccessible abdomen: transbursal end-to-side duodenogastrostomy.

BACKGROUND: Treatment of enterocutaneous fistula in patients with intra-abdominal sepsis and a surgically inaccessible abdomen is frequently unsuccessful. METHODS: A new approach has been devised: total disconnection of the proximal digestive tract, which can be performed through the bursa omentalis without entering the scarred abdomen. RESULTS: The procedure was carried out in four patients with high-output small bowel fistula and an inaccessible abdomen. Output of fistulas stopped promptly, recovery from intra-abdominal sepsis was achieved, the abdomens became accessible again and continuity of the digestive tract could be restored in all patients after intervals of 2-5.5 months. CONCLUSION: Transbursal end-to-side duodenogastrostomy is a useful procedure when traditional surgical interventions have failed or cannot be applied.

Adult↗
PubMedDate not supplied

External intestinal fistulae in Port Harcourt.

Twenty cases of established external faecal fistulae treated at the University of Port Harcourt Teaching Hospital (UPTH) over an eight year period were studied to find out the peculiar characteristics of this problem in this part of Nigeria. The male/female ratio was 3:1 Surgical complications constituted the commonest cause of fistula formation (65%). 80% of the patients were referred to the UPTH from peripheral hospitals and clinics. All patients were initially treated conservatively by nutritional build up, correction of fluid and electrolytes, control of infection and, where necessary, blood transfusion. 15% of fistulae closed spontaneously on conservative treatment while 55% required surgery for a successful outcome. The overall mortality was 25%.

Adolescent↗
PubMed1976

[Tactical and technical errors as the cause of development of external intestinal fistulas].

An analysis of causes of the development of external enteric fistulas in 71 patients, who to the moment of surgery showed no purulent-inflammatory processes in the abdomen, has demonstrated that in most patients (40 persons) the fistula development can be related with technical errors (an injury, deserosing, suturing of the intestine) during an operation. It is believed that for prophylaxis of enteric fistulas a special care should be given by a surgeon to mobilization of the intestine from adhesions, strict observation of technical recommendations and tactical purposes pertaining to treatment of acute intestinal obstruction, strangulated hernias, etc.

Appendicitis↗