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Diagnosis and treatment of duodenal injury and fistula / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 266-269, 2017.
Artigo em Chinês | WPRIM | ID: wpr-303877
ABSTRACT
Duodenal injury is a serious abdominal organ injury. Duodenal fistula is one of the most serious complications in gastrointestinal surgery, which is concerned for its critical status, difficulty in treatment and high mortality. Thoracic and abdominal compound closed injury and a small part of open injury are common causes of duodenal injury. Iatrogenic or traumatic injury, malnutrition, cancer, tuberculosis, Crohn's disease etc. are common causes of duodenal fistula, however, there has been still lacking of ideal diagnosis and treatment by now. The primary treatment strategy of duodenal fistula is to determine the cause of disease and its key point is prevention, including perioperative parenteral and enteral nutrition support, improvement of hypoproteinemia actively, avoidance of stump ischemia by excessive separate duodenum intraoperatively, performance of appropriate duodenum stump suture to ensure the stump blood supply, and avoidance of postoperative input loop obstruction, postoperative stump bleeding or hematoma etc. Once duodenal fistula occurs, a simple and reasonable operation can be selected and performed after fluid prohibition, parenteral and enteral nutrition, acid suppression, enzyme inhibition, anti-infective treatment and maintaining water salt electrolyte and acid-base balance. Double tube method, duodenal decompression and peritoneal drainage can reduce duodenal fistula-related complications, and then reduce the mortality, which can save the lives of patients.
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Cirurgia Geral / Procedimentos Cirúrgicos do Sistema Digestório / Terapêutica / Traumatismos Torácicos / Ferimentos e Lesões / Drenagem / Técnicas de Sutura / Fístula Intestinal / Nutrição Enteral Tipo de estudo: Estudo diagnóstico Limite: Humanos Idioma: Chinês Revista: Chinese Journal of Gastrointestinal Surgery Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Cirurgia Geral / Procedimentos Cirúrgicos do Sistema Digestório / Terapêutica / Traumatismos Torácicos / Ferimentos e Lesões / Drenagem / Técnicas de Sutura / Fístula Intestinal / Nutrição Enteral Tipo de estudo: Estudo diagnóstico Limite: Humanos Idioma: Chinês Revista: Chinese Journal of Gastrointestinal Surgery Ano de publicação: 2017 Tipo de documento: Artigo