岭南现代临床外科Issue(2)：184-186,3.DOI:10.3969/j.issn.1009-976X.2015.02.018
食管癌术后胸内消化道瘘26例临床报告
Clinical report in 26 patients with thoracic gastrointestinal fistula after esophagus cancer operation
魏崴 1李勇生 1钟标 1黎佩建1
作者信息
- 1. 516000 广东惠州 惠州市中心医院胸心外科
- 折叠
摘要
Abstract
Objective To investigate the cause, diagnosis and treatment of thoracic gastrointestinal fistula after esophagus cancer operation. Methods Esophagectomy was performed in 427 patients with esophageal cancer from January 2007 to December 2013 in our hospital. Gastrointestinal fistula occurred post-operatively in 26 patients..Of them with gastrointestinal fistula,7 patients underwent reoperation and 19 cases received conservative treatment including gastrointestinal decompression , thoracic cavity washing,vomica and gastric juice drainage. Enteral nutrition support by duodenal nutrition tube were performed in all 26 patients. Results The rate of TGF was 6.09% (26/427), including 6 gastric remnant fistula and 20 gastroesophageal anastomotic fistula. Seven patients with reoperation were cured due to finding in 3 days. Fourteen cases were cured in 19 patients with conservative treatment and 5 died. Conclusion Esophageal reconstruction should be performed in the patients of early fistula which happens in 3 days after operation. Vomica drainage , adequate gastric juice drainage , thoracic cavity washing and active enteral nutrition support are necessary for treatment of thoracic gastrointestinal fistula after esophagus cancer operation.关键词
食管癌/外科手术/胸内消化道瘘Key words
Esophagus cancer/Operation/Thoracic gastrointestinal fistula分类
医药卫生引用本文复制引用
魏崴,李勇生,钟标,黎佩建..食管癌术后胸内消化道瘘26例临床报告[J].岭南现代临床外科,2015,(2):184-186,3.
