PERSISTENT POSTOPERATIVE ENTEROCUTANEOUS FISTULA: PATHOPHYSIOLOGY AND TREATMENT

摘要: The cause of an enterocutaneous fistula following abdominal operation, in the absence inflammatory bowel disease or irradiation damage, is often obscure. In this study, it postulated that distal obstruction, associated with peritoneal adhesions abscess, critical determinant persistence. 'venting' effect fistula, and presence obstruction which frequently partial, makes recognition obstructive element difficult. It suggested operations to cure postoperative should be based on assumption always present, include a complete lysis involving small large bowel. A was cured 21 out 23 patients treated basis.