Biliary enteric fistula.
Biliary enteric fistula.
复制标题
胆肠瘘。
DOI：
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发表时间：
1957
期刊：
影响因子：
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通讯作者：
Grafe Wr
中科院分区：
文献类型：
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作者：
F. Glenn;C. Reed;Grafe Wr
本文报告1932 ~ 1978年纽约医院-康奈尔医学中心收治的胆肠瘘105例。在这46年期间，11，808例患者因非恶性胆道疾病接受手术，胆肠瘘的发病率为0.9%，最常见的瘘管部位为胆囊十二指肠（77%）和胆囊结肠（15%）。105名患者中有8名因瘘管相关症状和并发症接受了109次外科手术。手术死亡率为6%，推荐的确定性手术包括胆囊切除术、瘘管切除术、胆总管探查术和手术胆管造影术。105例患者中有22例因胆结石引起肠梗阻或肠梗阻。本组的手术死亡率为4.5%，推荐的治疗方法是在择期第二期手术中手术解除梗阻并纠正胆肠瘘。
From 1932 to 1978, 105 patients with biliary enteric fistulas are reported upon from The New York Hospital-Cornell Medical Center. During this 46 year period, 11,808 patients were operated upon for nonmalignant biliary tract disease, representing an incidence of biliary enteric fistulas of 0.9 per cent. The most common location of the fistula was cholecystoduodenal in 77 per cent and cholecystocolic in 15 per cent. Ninety-eight of the 105 patients underwent 109 surgical procedures for symptoms and complications associated with the fistula. The operative mortality was 6 per cent. The recommended definitive procedure includes cholecystectomy, excision of the fistula, common bile duct exploration and operative cholangiography. Among the 105 patients were 22 who presented with intestinal obstruction or ileus due to gallstones. The operative mortality in this group was 4.5 per cent. The recommended treatment for this condition is operative relief of the obstruction with correction of the biliary enteric fistula at an elective second stage operation.