ABSTRACT
OBJECTIVE: To describe conservative treatment of patients with small bowel fistula. MATERIAL AND METHODS: We report 3 patients with small bowel fistula. CONCLUSION: A personalized approach in patients with small bowel fistula and a modified treatment technique were effective for conservative treatment. Moreover, this approach was valuable to avoid surgical intervention.
Subject(s)
Conservative Treatment , Intestinal Fistula , Conservative Treatment/methods , Humans , Intestinal Fistula/therapy , Intestine, SmallABSTRACT
OBJECTIVE: To evaluate the possibility and safety of modified endoscopic stent in the treatment of benign intestinal fistulas. MATERIAL AND METHODS: Analysis of the experience of Sklifosovsky Research Institute for Emergency Care and recent numerous foreign reports confirms that staged treatment followed by delayed radical surgery is the most perspective approach. Modified endoscopic treatment of intestinal fistulas successfully used in 10 patients is reported in the article. RESULTS: Endoscopic stenting of various parts of gastrointestinal tract is a minimally invasive treatment of this pathology and not followed by complications and mortality. An important advantage is early closure of fistula that reduces duration of treatment and improves further social and labor rehabilitation of patients.
