Surgical management and treatment of gastric and duodenal fistulas.
Gastroduodenal fistulas compose only a small portion of gastrointestinal fistulas. They usually occur in the postoperative setting in association with an anastomotic leak. As with all fistulas, attention to adequate supportive care is needed. Interventional endoscopy may play a role in the future. The three surgical management approaches include exclusion, resection, and closure of the fistula. The success rate of closure ranges from 25% to 75% with supportive care only to 100% with proper surgical management.
Chung
M A
MA
Brown University, Providence, Rhode Island, USA.
Wanebo
H J
HJ
D004378:Duodenal Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D005402:Fistula / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D006801:Humans; D011379:Prognosis; D013272:Stomach Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome