A technique for the operative closure of persistent external small-bowel fistulas.

摘要: This paper presents a technique for the operative closure of persistent small-bowel fistulas. is radical procedure involving complete dissection whole small intestine, resection segment bowel containing fistula, and primary two-layer anastomosis. A consecutive series 50 patients with fistulas in presented. Twenty-three required surgery, seven whom underwent soon after establishment only two these was fistula successfully closed. The other 16 surgery some months free sepsis sound nutritional state. In fifteen closed, has which nuisance value only.